Individual
KHAIRUNISSIA MEICHELLE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25735 CURIE AVE, WARREN, MI 48091-3829
(313) 753-9111
Mailing address
25735 CURIE AVE, WARREN, MI 48091-3829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704267384
MI
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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