Individual
DR. GRANT DANIEL THIMESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 436-2577
Mailing address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5151016329
MI
Other
Enumeration date
06/14/2023
Last updated
05/17/2024
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