Doctor Name: | ELANA ANN GRIER |
NPI Number: | 1023272267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 5101017735 |
Business Practice Address: | 15855 19 Mile Rd Clinton Township, MI - 480383504 |
Business Phone Number: | 8004367936 |
Business Fax Number: | |
Mailing Address: | 18565 Manorwood W, CLINTON TOWNSHIP |
State: | MI |
Postal Code: | 480381266 |
Phone Number: | 3524555888 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101017735 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |