Individual
DR. GRANT STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1331 LAKE DR SE, SUITE 105, GRAND RAPIDS, MI 49506-1674
(616) 248-9842
Mailing address
1331 LAKE DR SE, SUITE 105, GRAND RAPIDS, MI 49506-1674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017754
MI
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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