# MICHAEL A. GRASSO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407990823
- **Gender:** Man
- **Credential:** MD, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | D0067245 | MD | — |
| 207R00000X | Internal Medicine Physician | D0067245 | MD | Yes |
| 2083C0008X | Clinical Informatics Physician | D0067245 | MD | — |

## Other

- **Enumeration date:** 02/18/2007
- **Last updated:** 09/10/2020