Individual
DENNIS WAYNE GRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6905 ROCHESTER RD, SUITE C, TROY, MI 48085-1282
(248) 828-1100
(248) 828-1101
Mailing address
52087 SYCAMORE DR, CHESTERFIELD, MI 48047-4540
(586) 838-8520
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001939
MI
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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