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Individual

LEWIS GRIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4594 HEREFORD ST, DETROIT, MI 48224-1405
(313) 544-0865
Mailing address
4594 HEREFORD ST, DETROIT, MI 48224-1405
(313) 544-0865

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
G660515279643
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
48224
MI
Enumeration date
09/14/2010
Last updated
09/14/2010
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