Grinberg, Issac X

Grinberg, Issac X is an individual health care provider with primary practice located at 22250 Providence Dr Ste # 705, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Grinberg, Issac X can be contacted via phone (248) 552-9858.

Contact Information

Primary practice address
22250 Providence Dr Ste # 705 Southfield MI 48075-4825
Phone: (248) 552-9858
Fax: (248) 552-9510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301050938 Michigan

Profile Details

NPI number 1790768257
LBN Legal business name Grinberg, Issac X
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jan 13th, 2014 - about 10 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 1790768257 NPPES
Michigan MEDICAID 2959599
Michigan Other OF360210

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