Doctor Name: | GRANT PAUL ZIEMS |
NPI Number: | 1083758262 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B.S., C.A.C.-R |
License Number: | 2-00472 |
Business Practice Address: | 2920 College Ave Escanaba, MI - 498299597 |
Business Phone Number: | 9067869639 |
Business Fax Number: | 9067898146 |
Mailing Address: | 2920 College Ave, ESCANABA |
State: | MI |
Postal Code: | 498299597 |
Phone Number: | 9067869639 |
Fax Number: | 9067898146 |
NPI Enumeration Date: | 02/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2-00472 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |