MR. PAUL RICHARD GRADOLPH
NPI 1417946815
Family Medicine in Clinton Twp, MI

Active since October 18, 2005
43421 GARFIELD RD, STE 1, CLINTON TWP, MI 48038(586) 286-5500(586) 286-0900 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Paul Richard Gradolph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PAUL RICHARD GRADOLPH (NPI 1417946815) is an individual family medicine provider in Clinton Twp, Michigan, licensed in Michigan (PG034110) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1417946815
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. PAUL RICHARD GRADOLPH
Location Address43421 GARFIELD RD, STE 1Clinton Twp, MI 48038-1133
Mailing Address43421 Garfield Rd, Ste 1Clinton Twp, MI 48038-1133 · (586) 286-5500 · Fax (586) 286-0900
Fax(586) 286-0900
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
NPI 1417946815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · PG034110
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
43421 GARFIELD RD, Clinton Twp, MI 48038

Other Identifiers 1

Medicaid4362474MI

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
43421 GARFIELD RD, STE 1
CLINTON TWP, MI 48038
Health Educator
43421 GARFIELD RD
CLINTON TWP, MI 48038
Family Medicine
43421 GARFIELD RD, STE 1
CLINTON TWP, MI 48038
Health Educator
43421 GARFIELD RD
CLINTON TWP, MI 48038
Specialist
43421 GARFIELD RD, STE 1
CLINTON TWP, MI 48038
Ophthalmology
43421 GARFIELD RD, SUITE 7
CLINTON TWP, MI 48038
Internal Medicine
43421 GARFIELD RD
CLINTON TOWNSHIP, MI 48038
Family Medicine
43421 GARFIELD RD, STE 1
CLINTON TWP, MI 48038

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Gradolph's NPI number?

The NPI number for Paul Gradolph is 1417946815. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Paul Gradolph located?

Paul Gradolph practices at 43421 Garfield Rd Ste 1, Clinton Twp, MI 48038. The listed phone number is (586) 286-5500.

What is Paul Gradolph's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Paul Gradolph was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.