Individual
DR. BRIAN MICHAEL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B., B.S.
Contact information
Practice address
825 2ND AVE STE B1, BOWLING GREEN, KY 42101-1790
(270) 796-3330
(270) 796-3338
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 745-1100
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
56346
KY
390200000X
Student in an Organized Health Care Education/Training Program
MTL002969
DC
Other
Enumeration date
08/13/2015
Last updated
07/27/2022
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