Healthcare Provider Details

I. General information

NPI: 1730167248
Provider Name (Legal Business Name): LOUISE DESGRANGES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G 8145 S SAGINAW STREET SUITE C
GRAND BLANC MI
48439
US

IV. Provider business mailing address

G 8145 S SAGINAW STREET SUITE C
GRAND BLANC MI
48439
US

V. Phone/Fax

Practice location:
  • Phone: 810-694-2730
  • Fax: 810-694-2731
Mailing address:
  • Phone: 810-694-2730
  • Fax: 810-694-2731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberLD33959
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberLD33959
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: