Individual
MR. MICHAEL P GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 586-2200
(970) 577-4536
Mailing address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 586-2200
(970) 577-4536
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30819
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40287254
—
CO
Enumeration date
11/14/2005
Last updated
08/26/2013
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