Individual
SARAH E GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1111 LEFFINGWELL AVE NE, STE 100, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Mailing address
1111 LEFFINGWELL AVE NE, STE 100, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 454-6170
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601004676
MI
Other
Enumeration date
06/03/2006
Last updated
09/19/2013
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