Provider Demographics
NPI:1770564692
Name:GRANT, STEVEN D (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:GRANT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:30335 W 13 MILE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2262
Mailing Address - Country:US
Mailing Address - Phone:248-626-6500
Mailing Address - Fax:248-855-0190
Practice Address - Street 1:30335 W 13 MILE RD
Practice Address - Street 2:STE 100
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2262
Practice Address - Country:US
Practice Address - Phone:248-626-6500
Practice Address - Fax:248-855-0190
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2010-10-28
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Provider Licenses
StateLicense IDTaxonomies
MI4301038353207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1311041Medicaid
MIA77134Medicare UPIN
MI1311041Medicaid