MRS. Nicole Dawn Grange, PA-C

NPI #1356534770 in Milford, Michigan

Provider Information

NPI Number
1356534770
Entity Type
Individual
Name
MRS. Nicole Dawn Grange, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Aug 20, 2007
Last Updated
Aug 25, 2011

Practice Location

Address
1181 N MILFORD RD
Address 2
SUITE 100
ZIP Code
48381-1061
Phone
(248) 685-0444

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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