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Brandon Grodman
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1437853082

Brandon Grodman is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Brandon Grodman practices in Southfield, MI. The NPI Number for Brandon Grodman is 1437853082 and holds a License No. (Michigan).

The current practice location address for Brandon Grodman is 22250 Providence Dr, Southfield, MI and can be reached out via phone at 248-849-3281.

Location: 22250 Providence Dr, Southfield, MI, 48075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437853082
Provider Name
Brandon Grodman
Credential
Provider Entity Type
Individual
Gender
Male
Address
22250 Providence Dr, Southfield, MI, 48075
Phone Number
248-849-3281
Fax Number
Provider Enumeration Date
03/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-849-3281
Fax Number
person
Provider Business Mailing Address Details
Address
22250 Providence Dr
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-849-3281
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.
()
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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