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Contact Information

STEPHANIE J GRINSTEAD
1712 HOLTON ROAD
SUITE B
MUSKEGON, MI49445
 Phone: 231-719-1921
 Fax: 231-719-9470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for STEPHANIE J GRINSTEAD · (Female)

NPI # 1467548974
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # DIPLOMA ONLY
  • MI Medicaid 4717630
  • MI Other 30609 BCBS
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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