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Mr. Grant Connor Goodfellow, DO
Student in an Organized Health Care Education/Training Program in Warren, Michigan
NPI 1659029205

Grant Connor Goodfellow is a Student in an Organized Health Care Education/Training Program based in Warren, MI. Grant Connor Goodfellow practices in Warren, MI and has the professional credentials of DO. The NPI Number for Grant Connor Goodfellow is 1659029205 and holds a License No. (Michigan).

The current practice location address for Grant Connor Goodfellow is 30117 Schoenherr Rd Ste 400, Warren, MI and can be reached out via phone at 586-738-9470.

Location: 30117 Schoenherr Rd Ste 400, Warren, MI, 48088-6854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659029205
Provider Name
Grant Connor Goodfellow
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
30117 Schoenherr Rd Ste 400, Warren, MI, 48088-6854
Phone Number
586-738-9470
Fax Number
Provider Enumeration Date
03/14/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
30117 Schoenherr Rd Ste 400
City
Warren
State
Michigan
Zip
48088-6854
Phone Number
586-738-9470
Fax Number
person
Provider Business Mailing Address Details
Address
30117 Schoenherr Rd Ste 400
City
Warren
State
Michigan
Zip
48088-6854
Phone Number
586-738-9470
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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