Individual
HAILEY RAE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-8000
Mailing address
10657 STONE HINGE CIR, NORTH ROYALTON, OH 44133-1997
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.008699RX
OH
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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