Healthcare Provider Details

I. General information

NPI: 1932515657
Provider Name (Legal Business Name): AAREN GRIGG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2014
Last Update Date: 07/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3230 BEECHER RD SUITE 1
FLINT MI
48532-3604
US

IV. Provider business mailing address

401 S BALLENGER HWY
FLINT MI
48532-3638
US

V. Phone/Fax

Practice location:
  • Phone: 810-342-5656
  • Fax: 810-342-5600
Mailing address:
  • Phone: 810-342-1000
  • Fax: 810-342-1590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301105972
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: