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Organization
MICHAEL T. GRANT, M.D., P.C.
Active
Organization
MICHAEL T. GRANT, M.D., P.C.
Active
Parent organization
MICHAEL T. GRANT, M.D., P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL T. GRANT, M.D., P.C.
Authorized official
MICHAEL THOMAS GRANT M.D. (OWNER)
(716) 677-6404
Entity
Organization
Contact information
Practice address
550 ORCHARD PARK RD, BUILDING B, SUITE 105, WEST SENECA, NY 14224-2646
(716) 677-6404
(716) 677-6407
Mailing address
550 ORCHARD PARK RD, BUILDING B, SUITE 105, WEST SENECA, NY 14224-2646
(716) 677-6404
(716) 677-6407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
147528
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00886879
—
NY
Enumeration date
11/28/2007
Last updated
02/19/2008
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