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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