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

Grant Fons, PA

Individual provider Physician Assistant · NPI 1619647989

Grant Fons, PA is a Physician Assistant in Redford, Michigan. Qualified in 2020, 6 years ago. Practices with McLaren Thumb Region, a 39-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14671 Telegraph Rd
Redford, MI 48239-3300
Phone: (313) 948-3055
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010238 (MI)

Record details

NPI number1619647989
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021
Mailing address14671 Telegraph Rd, Redford, MI 48239-3300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice McLaren Thumb Region — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Redford