Individual
DR. REGINALD DEAN GRANDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
23832 SOUTHFIELD RD, SOUTHFIELD, MI 48075-8017
(248) 443-8089
(313) 865-1867
Mailing address
23832 SOUTHFIELD RD, SOUTHFIELD, MI 48075-8017
(248) 443-8089
(313) 865-1867
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003700
MI
Other
Enumeration date
06/03/2006
Last updated
01/03/2008
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