Individual
ROBERT GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19000 ASHTON AVE, DETROIT, MI 48219-2966
(734) 382-8410
Mailing address
19000 ASHTON AVE, DETROIT, MI 48219-2966
(734) 382-8410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
3075882423
MI
163W00000X
Registered Nurse
3075882460
MI
163W00000X
Registered Nurse
Primary
3075882461
MI
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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