Individual
DR. MARK T. GRATTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
888 S KING ST, HONOLULU, HI 96813-3009
(808) 522-3068
Mailing address
820 MILILANI ST, SUITE 702A, HONOLULU, HI 96813-2924
(808) 522-3068
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD-7469
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06869402
—
HI
01
—
1768444
UHA
HI
Enumeration date
10/12/2006
Last updated
12/11/2007
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