Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand River Physical Medicine PLC

Organization Chiropractor · NPI 1699119339

Grand River Physical Medicine PLC provides Chiropractor services in Novi, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
Specialties on file
3

Practice location Address checks out

39915 Grand River Ave Ste # 750
Novi, MI 48375-2153 Not confirmed with CMS for 13 years — call before visiting
Phone: (248) 476-7775
Fax: (248) 987-4972
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 5101008610 (MI)
Chiropractor Taxonomy 111N00000X · Licence SS008515 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704268297 (MI)

Record details

NPI number1699119339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Stanley — Owner · (248) 476-7775
NPI enumeratedApril 24, 2013
Last updated in NPPESJune 17, 2013
Mailing address39915 Grand River Ave, Suite # 750, Novi, MI 48375-2153

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