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NPI Code Detail

MEDICARE: ROBERT GRENN MD

MEDICARE:   ROBERT  GRENN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician4301508925MI

General Provider Information

NPI Number : 1366079915
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT GRENN MD
Provider Business Mailing Address
First Line : 2040 CHAMBERS RD
Second Line :
City : CARO
State : MI
Zip : 48723-9240
Country : US
Telephone Number : 989-673-3191
Fax Number :
Provider Business Practice Location Address
First Line : 2040 CHAMBERS RD
Second Line :
City : CARO
State : MI
Zip : 48723-9240
Country : US
Telephone Number : 989-673-3191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 04/11/2026

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Directions to “ ROBERT GRENN MD” Practice Location

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