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Individual
RONALD S GRANT
Active
Individual
RONALD S GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036136987
IL
208000000X
Pediatrics Physician
16604
AZ
208000000X
Pediatrics Physician
54324
WI
208M00000X
Hospitalist Physician
036136987
IL
208M00000X
Hospitalist Physician
16604
AZ
208M00000X
Hospitalist Physician
54324
WI
Other
Enumeration date
08/21/2006
Last updated
11/07/2024
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