Individual
DR. PETER G. GRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2603 ELECTRIC AVE, SUITE A, PORT HURON, MI 48060-6588
(810) 987-1056
(810) 987-1060
Mailing address
2603 ELECTRIC AVE, SUITE A, PORT HURON, MI 48060-6588
(810) 987-1056
(810) 987-1060
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301069603
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0580808
AETNA HEALTH PLANS
MI
01
—
0999859
HEALTH PLUS OF MICHIGAN
MI
05
—
103409558
—
MI
05
—
104604735
—
MI
01
—
1406326922
BLUE CROSS BLUE SHIELD
MI
01
—
15231
M-CARE
MI
01
—
D16645
HEALTH ALLIANCE PLAN
MI
01
—
P00171032
RAILROAD MEDICARE
MI
Enumeration date
01/19/2006
Last updated
01/05/2010
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