Individual
SUSAN R GRABOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
18530 MACK AVE, SUITE 411, GROSSE POINTE FARMS, MI 48236-3254
(313) 655-4824
(313) 886-3910
Mailing address
18530 MACK AVE, SUITE 411, GROSSE POINTE FARMS, MI 48236-3254
(313) 655-4824
(313) 886-3910
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101014996
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2555012374
BCBS PIN
MI
01
—
2558217654
BS PIN
MI
Enumeration date
07/13/2006
Last updated
08/23/2010
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