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Contact Information

RICHARD L GRANT, DPM
29556 SOUTHFIELD RD
SUITE 107
SOUTHFIELD, MI48076
 Phone: 248-559-5959
 Fax: 248-559-0552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RICHARD L GRANT · (Male)

NPI Number 1073586376
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5901000735
  • MI Medicaid 4418408
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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