Individual
DR. DEREK GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11800 E 12 MILE RD STE 205, WARREN, MI 48093-3472
(586) 582-7033
(586) 582-7034
Mailing address
3195 SOLUTIONS CENTER BOX 773195, CHICAGO, IL 60677-0001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301502795
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2016
Last updated
05/22/2024
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