Organization
GROSSE POINTE PHYSIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN RUTH GRABOWSKI D.O. (PHYSICIAN)
(313) 655-4824
Entity
Organization
Contact information
Practice address
18530 MACK AVE, SUITE 411, GROSSE POINTE FARMS, MI 48236-3254
(313) 655-4824
(313) 886-3910
Mailing address
18530 MACK AVE, SUITE 411, GROSSE POINTE FARMS, MI 48236-3254
(313) 655-4824
(313) 886-3910
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101014996
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250H232040
BCBS PIN
MI
Enumeration date
09/09/2007
Last updated
08/23/2010
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