Individual
RYAN DESGRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2181
(313) 916-4568
Mailing address
2799 W GRAND BLVD # K12, DETROIT, MI 48202-2689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
MI
363AM0700X
Medical Physician Assistant
Primary
1082078
MI
Other
Enumeration date
06/05/2008
Last updated
01/29/2021
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