Most Relevant Information
Provider Data
| NPI Number: | 1003061136 |
| Provider Name: | BRITTANY GRIHORASH |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/17/2008 |
| Last Updated: | 11/17/2008 |
Provider Practice Location
19401 NORTHLINE RD
SOUTHGATE
MI
481952277
Practice Location Phone/Fax
| Phone: | 7347857718 |
| Fax: |
Provider Mailing Location
13736 WESLEY ST
SOUTHGATE
MI
481951719
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |