Individual
GREGORY STUART GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5940 OAK POINT RD, LORAIN, OH 44053-4100
(440) 988-3705
(440) 988-7433
Mailing address
5940 OAK POINT RD, LORAIN, OH 44053-4100
(440) 988-3705
(440) 988-7433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008218
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2594643
—
OH
Enumeration date
10/10/2006
Last updated
06/12/2023
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