Individual
RUFUS WILL GRANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMPH
Contact information
Practice address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
(989) 831-7578
Mailing address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
(989) 831-7578
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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