Individual
KIMBERLY GRILLO MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
Mailing address
4125 BINGHAMPTON CT, CLARKSTON, MI 48348-5078
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01923
MI
Other
Enumeration date
07/15/2010
Last updated
09/13/2013
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