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Individual
MR. MICHAEL J GRANT
Active
Individual
MR. MICHAEL J GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
244156
KY
213E00000X
Podiatrist
36003524
OH
213E00000X
Podiatrist
Primary
K237
KY
213ER0200X
Radiology Podiatrist
244156
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
244156
KY
213ES0131X
Foot Surgery Podiatrist
244156
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000304180
BLUES
KY
01
—
000000636981
ANTHEM BCBS
OH
01
—
4949440001
MDCR DMERC
KY
05
—
80002371
—
KY
Enumeration date
09/11/2006
Last updated
03/16/2022
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