Individual
MR. G. GARTH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
8251 MAYFIELD RD, SUITE 23, CHESTERLAND, OH 44026-2547
(440) 729-8228
(888) 729-8131
Mailing address
PO BOX 696, CHESTERLAND, OH 44026-0696
(440) 729-8228
(888) 729-8131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143833
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0611645
—
OH
Enumeration date
08/23/2005
Last updated
11/03/2011
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