Individual
MR. KONSTANTINOS GRILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
TRINITY HEALTH ACADEMIC FAMILY MEDICINE-NORTHWEST LIVON, 37595 SEVEN MILE RD., SUITE 210, LIVONIA, MI 48152
(734) 853-5690
(734) 430-9388
Mailing address
TRINITY HEALTH LAVONIA HOSPITAL, 36475 FIVE MILE RD, LIVONIA, MI 48154
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
04/27/2023
Last updated
08/15/2023
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