Grant, Richard Lee

Grant, Richard Lee is an individual health care provider with primary practice located at 29556 Southfield Rd Suite 107, Southfield MI 48076. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Grant, Richard Lee can be contacted via phone (248) 559-5959.

Contact Information

Primary practice address
29556 Southfield Rd Suite 107 Southfield MI 48076
Phone: (248) 559-5959
Fax: (248) 559-0552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901000735 Michigan

Profile Details

NPI number 1073586376
LBN Legal business name Grant, Richard Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073586376 NPPES
Michigan MEDICAID 4418408

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