Wiswell, Grant Matthew
Wiswell, Grant Matthew is an sole proprietor health care provider with primary practice located at 1011 N University Ave Room 2008, Box 1078, Ann Arbor MI 48109-1078. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Wiswell, Grant Matthew can be contacted via phone (734) 615-8606.Contact Information
Primary practice address
1011 N University Ave Room 2008, Box 1078
Ann Arbor MI 48109-1078
Phone: (734) 615-8606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4301091837 | Michigan |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2344 | Montana |
Profile Details
| NPI number | 1497917132 |
|---|---|
| LBN Legal business name | Wiswell, Grant Matthew |
| Credentials | MD, DDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2008 |
| Last updated | Jan 18th, 2016 - about 8 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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