Individual
MICHAEL JOHN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Mailing address
4297 W PINE CLIFF CT, SPOKANE, WA 99208-6929
(541) 382-6633
(541) 382-2719
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD207134
OR
Other
Enumeration date
06/16/2008
Last updated
11/30/2021
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