Individual
MR. MICHAEL RAMIT GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 442-3059
Mailing address
190 ARROWHEAD DR, EVANSTON, WY 82930-9266
(801) 564-1502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6367A
WY
208M00000X
Hospitalist Physician
Primary
6739089-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119902100
—
WY
Enumeration date
09/12/2006
Last updated
07/21/2022
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