| Doctor Name: | MICHAEL GRILLS |
| NPI Number: | 1912034562 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 4704191815 |
| Business Practice Address: | 1215 N Pine Rd Essexville, MI - 487321917 |
| Business Phone Number: | 9898925732 |
| Business Fax Number: | |
| Mailing Address: | 1215 N Pine Rd, ESSEXVILLE |
| State: | MI |
| Postal Code: | 487321917 |
| Phone Number: | 9898925732 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 4704191815 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |