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NPI 1730167248

NPI 1730167248 : LOUISE DESGRANGES MD : GRAND BLANC, MI

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General NPI Number Information
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    NPI Number           |    1730167248
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    Entity Type          |    Individual 
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    Provider Name        |    LOUISE DESGRANGES MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/04/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    G 8145 S SAGINAW STREET SUITE C
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    City                 |    GRAND BLANC
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    State                |    MI
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    Zip                  |    48439
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    Country              |    US
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    Telephone            |    810-694-2730
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    Fax                  |    810-694-2731
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Provider Business Mailing Address
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    Address Line         |    G 8145 S SAGINAW STREET SUITE C
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    City                 |    GRAND BLANC
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    State                |    MI
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    Zip                  |    48439
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    Country              |    US
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    Telephone            |    810-694-2730
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    Fax                  |    810-694-2731
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    LD33959
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    2084P0805X
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    Taxonomy Name        |    Geriatric Psychiatry Physician
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    License Number       |    LD33959
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    License Number State |    MI
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