Individual
DARLA KAE GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22101 MOROSS RD, PB 2 STE 480, DETROIT, MI 48236
(313) 343-3048
(313) 343-7349
Mailing address
22101 MOROSS RD, PB 2 STE 480, DETROIT, MI 48236
(313) 343-3048
(313) 343-7349
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
33528
MN
208600000X
Surgery Physician
Primary
4301080825
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4694661
—
MI
Enumeration date
08/17/2006
Last updated
03/03/2010
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