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Organization

BIRMINGHAM MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYLE SCOTT GRANT MD (OWNER)
(248) 645-1000
Entity
Organization

Contact information

Practice address
180 E BROWN ST, BIRMINGHAM, MI 48009-6237
(248) 645-1000
Mailing address
180 E BROWN ST, BIRMINGHAM, MI 48009-6237
(248) 645-1000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/04/2007
Last updated
08/22/2020
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