Individual
KAYCIE GRUSNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-0543
(248) 630-4301
Mailing address
PO BOX 2137, BIRMINGHAM, MI 48012-2137
(248) 693-0543
(248) 630-4301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704260357
MI
Other
Enumeration date
10/06/2014
Last updated
11/17/2014
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