DR. Michael Edward Grant, MD,PHD

NPI #1902112253 in Blaine, Minnesota

Provider Information

NPI Number: 1902112253
Entity Type: Individual
Name: DR. Michael Edward Grant, MD,PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD,PHD
Enumeration Date: Aug 25, 2010
Last Updated: Mar 7, 2023

Practice Location

Address: 3890 PHEASANT RIDGE DR NE
City: Blaine
State: Minnesota
ZIP Code: 55449-5854
Phone: (763) 792-9507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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