MEDICARE: TONYA GRIER

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
1	343900000X	Non-emergency Medical Transport (VAN)	G660799488675	MI

General Provider Information

NPI Number	:	1437901899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONYA GRIER

Provider Business Mailing Address
First Line	:	17861 GLENDALE ST
Second Line	:
City	:	ROSEVILLE
State	:	MI
Zip	:	48066-3431
Country	:	US
Telephone Number	:	313-498-8696
Fax Number	:

Provider Business Practice Location Address
First Line	:	17861 GLENDALE ST
Second Line	:
City	:	ROSEVILLE
State	:	MI
Zip	:	48066-3431
Country	:	US
Telephone Number	:	313-498-8696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	04/01/2024

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