Individual provider · Type 1 NPI

Grant Connor Goodfellow, DO

Student in an Organized Health Care Education/Training Program · Warren, MI

NPI number 1659029205 Active

Practice location

30117 Schoenherr Rd Ste 400
Warren, MI 48088-6854

Call (586) 738-9470 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659029205

Grant Connor Goodfellow, DO's National Provider Identifier is 1659029205, issued on Mar 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Warren, MI. The record was last updated on Mar 28, 2024.