Individual
DR. CLINT GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 394-3205
Mailing address
PO BOX 30516, DEPT. 4006, LANSING, MI 48909-8016
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301073590
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930096829
RAIL ROAD MEDICARE
MI
Enumeration date
12/11/2006
Last updated
07/28/2009
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