Individual
GRANT JAMES ANHALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D28241
MD
291U00000X
Clinical Medical Laboratory
D28241
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326721100
—
MD
01
—
AA8372853
DC LICENSE
DC
01
—
D28241
MD LICENSE
MD
Enumeration date
04/14/2006
Last updated
12/09/2025
Update your record
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