MS. Suzette M Grant, INDIVIDUAL
NPI #1306982780 in Columbia Falls, Maine
Provider Information
- NPI Number
- 1306982780
- Entity Type
- Individual
- Name
- MS. Suzette M Grant, INDIVIDUAL
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Preferred Provider Organization
- Credential
- INDIVIDUAL
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 860 TIBBETTSTOWN RD
- City
- Columbia Falls
- State
- Maine
- ZIP Code
- 04623-5021
- Phone
- (207) 483-2883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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