Most Relevant Information
Provider Data
| NPI Number: | 1003077207 |
| Provider Name: | BRENT DAVID GRIFFITH M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 4301092601 |
Most Important Dates
| Enumeration Date: | 06/19/2008 |
| Last Updated: | 06/19/2008 |
Provider Practice Location
2799 W GRAND BLVD
DETROIT
MI
482022608
Practice Location Phone/Fax
| Phone: | 3139162600 |
| Fax: |
Provider Mailing Location
5876 CLARKSTON RD
CLARKSTON
MI
483484708
Provider Mailing Phone/Fax
| Phone: | 2486259692 |
| Fax: |