NPI 1013956556

Stanley Chase Grandon, MD

Practitioner Ophthalmology Physician Dearborn, MI

Practice location

Address: 15212 Michigan Ave, Dearborn, MI 48126-3497
Phone: (313) 582-8856
Fax: (313) 582-8265

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence SG030076 (MI)

Other Ophthalmology providers in Michigan →

Registry record

NPI: 1013956556
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2006
Record last updated: 15 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.