Individual
MICHAEL THOMAS GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - UROLOGY, LEBANON, NH 03756-1000
(603) 650-5091
Mailing address
ONE MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - UROLOGY, LEBANON, NH 03756-1000
(603) 650-5091
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19246
NH
208800000X
Urology Physician
273704
MA
Other
Enumeration date
06/05/2013
Last updated
10/22/2018
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