Individual
MANJIT GREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
G1071 N BALLENGER HWY, SUITE 310, FLINT, MI 48504-4453
(810) 238-4172
(810) 238-4153
Mailing address
3733 HERON RIDGE DR, ROCHESTER HILLS, MI 48309-4522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301063741
MI
207RN0300X
Nephrology Physician
Primary
4301063741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411131110
—
MI
Enumeration date
10/25/2005
Last updated
08/14/2018
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