Stanley Chase Grandon, M.D.

NPI #1013956556 in Dearborn, Michigan

Provider Information

NPI Number: 1013956556
Entity Type: Individual
Name: Stanley Chase Grandon, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Jun 6, 2006
Last Updated: Oct 15, 2007

Practice Location

Address: 15212 MICHIGAN AVE
City: Dearborn
State: Michigan
ZIP Code: 48126-3497
Phone: (313) 582-8856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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