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Grayson Bastin, DO
Student in an Organized Health Care Education/Training Program in Lansing, Michigan
NPI 1073242137

Grayson Bastin is a Student in an Organized Health Care Education/Training Program based in Lansing, MI. Grayson Bastin practices in Lansing, MI and has the professional credentials of DO. The NPI Number for Grayson Bastin is 1073242137 and holds a License No. 5151015495 (Michigan).

The current practice location address for Grayson Bastin is 2900 Collins Rd, Lansing, MI and can be reached out via phone at 517-975-6000.

Location: 2900 Collins Rd, Lansing, MI, 48910-8394
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073242137
Provider Name
Grayson Bastin
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2900 Collins Rd, Lansing, MI, 48910-8394
Phone Number
517-975-6000
Fax Number
Provider Enumeration Date
06/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2900 Collins Rd
City
Lansing
State
Michigan
Zip
48910-8394
Phone Number
517-975-6000
Fax Number
person
Provider Business Mailing Address Details
Address
2900 Collins Rd
City
Lansing
State
Michigan
Zip
48910-8394
Phone Number
517-975-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5151015495 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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