Individual
DR. MARK FRANCIS GRENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
775 S MAIN ST, CHELSEA, MI 48118-1383
(734) 593-6000
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 - LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101014936
MI
208M00000X
Hospitalist Physician
5101014936
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BRONSON BATTLE CREEK
MI
05
—
1942300454
—
MI
05
—
4631106
—
MI
01
—
5331090
BCBS INDIVIDUAL PIN
MI
Enumeration date
09/24/2006
Last updated
09/06/2016
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