Individual
GRETA L BRANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1051 NORTH CANTON CENTER RD, CANTON, MI 48187-5097
(734) 844-5400
(734) 844-5298
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301086773
MI
208000000X
Pediatrics Physician
4301086773
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4785882
—
MI
Enumeration date
10/11/2006
Last updated
12/17/2019
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