Individual
KATHERINE GRINENKO METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2255 FORT ST, LINCOLN PARK, MI 48146-2671
(313) 386-7500
(313) 386-6447
Mailing address
2255 FORT ST, LINCOLN PARK, MI 48146-2671
(313) 386-7500
(313) 386-6447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COANP06837
OH
363L00000X
Nurse Practitioner
RN278072
OH
363L00000X
Nurse Practitioner
RX06837
OH
363LF0000X
Family Nurse Practitioner
Primary
4704190296
MI
Other
Enumeration date
05/01/2006
Last updated
03/25/2019
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