Samantha Grody

NPI #1104373877 in Cedar Springs, Michigan

Provider Information

NPI Number: 1104373877
Entity Type: Individual
Name: Samantha Grody
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 9, 2016
Last Updated: Sep 9, 2016

Practice Location

Address: 13001 REDMOND AVE
City: Cedar Springs
State: Michigan
ZIP Code: 49319-9366
Phone: (616) 696-0454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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