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Grand River Physical Medicine Plc

Occupational Medicine Physician in Novi, MI · enumerated 2013 · authorized official Shane Stanley, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699119339

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Registry record

Entity type Organization (Type 2)
Legal business name Grand River Physical Medicine Plc
Practice address 39915 Grand River Ave, Suite # 750, Novi, MI, 48375
Phone (248) 476-7775
Fax (248) 987-4972
Enumeration date Apr 24, 2013
Last updated in NPPES Jun 17, 2013

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License SS008515 (MI) Secondary
2083X0100X Occupational Medicine Physician Allopathic & Osteopathic Physicians · License 5101008610 (MI) Primary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 4704268297 (MI) Secondary

Authorized official

Name Shane Stanley
Title Owner
Phone (248) 476-7775

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Grand River Physical Medicine Plc?
NPPES lists Shane Stanley (Owner) as the authorized official for this organization.
What is the NPI number for Grand River Physical Medicine Plc?
The NPI for Grand River Physical Medicine Plc is 1699119339, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-17.