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Organization
MARK T. GRATTAN, MD, LLC
Active
Organization
MARK T. GRATTAN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK T. GRATTAN M.D. (SOLE PROPRIETOR)
(808) 522-3068
Entity
Organization
Contact information
Practice address
888 S KING ST, HONOLULU, HI 96813-3009
(808) 522-3068
Mailing address
820 MILILANI ST, SUITE 702A, HONOLULU, HI 96813-2924
(808) 523-9363
(808) 523-9418
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD 7469
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06869402
—
HI
Enumeration date
06/07/2007
Last updated
12/11/2007
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