Individual
ERIN N GRABOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3200 W CENTRE AVE STE 203, PORTAGE, MI 49024-4889
(269) 324-0799
Mailing address
3200 W CENTRE AVE STE 203, PORTAGE, MI 49024-4889
(269) 324-0799
(269) 324-8013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005358
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM
MI
01
—
5601005358
MI STATE MEDICAL LICENSE (TEMP)
MI
Enumeration date
09/26/2008
Last updated
11/20/2023
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