SearchMichigan183500000X

Grant Beach

NPI 1124667258 · on the registry since 2020

Practice

Address
201 Michigan St Nw Apt 910
Grand Rapids, MI 49503
Phone
(616) 824-6200

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan