Individual
CHARLES R GRASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 BYRON RD, HOWELL, MI 48843-1002
(517) 545-6000
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(734) 995-3764
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
048131
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102742572
—
MI
05
—
102865231
—
MI
05
—
104098470
—
MI
05
—
104146157
—
MI
05
—
104713711
—
MI
01
—
CG048131
BC/BS
MI
Enumeration date
05/26/2006
Last updated
01/28/2011
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