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Individual

GRANT JAMES ANHALT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-5933
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004

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
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