Individual
MICHAEL HENRY GRANDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
711 STANTON L YOUNG BLVD STE 215, OKLAHOMA CITY, OK 73104-5021
(405) 271-4113
Mailing address
711 STANTON L YOUNG BLVD STE 215, OKLAHOMA CITY, OK 73104-5021
(405) 271-4113
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
P7770
TX
Other
Enumeration date
06/13/2008
Last updated
07/23/2025
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