Provider Demographics
NPI:1902986144
Name:STEVEN GRANT & LOWELL PAUL
Entity Type:Organization
Organization Name:STEVEN GRANT & LOWELL PAUL
Other - Org Name:DOCTORS OF INTERNAL MEDICINE
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-626-6500
Mailing Address - Street 1:30335 W 13 MILE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2262
Mailing Address - Country:US
Mailing Address - Phone:248-626-6500
Mailing Address - Fax:248-855-0190
Practice Address - Street 1:30335 W 13 MILE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2262
Practice Address - Country:US
Practice Address - Phone:248-626-6500
Practice Address - Fax:248-855-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110F361750OtherBLUE CROSS BLUE SHIELD OF MI
MI0F36175Medicare PIN