Individual
DR. MICHAEL C. GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5142
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D77323
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
D77323
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
D77323
MD
Other
Enumeration date
05/14/2010
Last updated
12/16/2021
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