Individual
DR. GRANT KENNETH ORTHMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-0300
Mailing address
707 IRVING AVE, ROYAL OAK, MI 48067-2880
(248) 546-4896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1060299
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4994130
—
MI
05
—
10-4994149
—
MI
05
—
10-4996395
—
MI
05
—
10-4996439
—
MI
05
—
10-4996448
—
MI
05
—
10-4996466
—
MI
05
—
10-4996475
—
MI
05
—
10-4996528
—
MI
05
—
10-4996564
—
MI
05
—
10-4996608
—
MI
05
—
10-4996635
—
MI
Enumeration date
02/17/2007
Last updated
11/09/2010
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