Individual
GRANT MCCANN MUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 YANKEE ROAD ML 16026, LIBERTY TOWNSHIP, OH 45044-3500
(513) 803-9649
(513) 803-9659
Mailing address
7777 YANKEE ROAD ML 16026, LIBERTY TOWNSHIP, OH 45044-3500
(513) 803-9649
(513) 803-9659
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
90067
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010181127
—
VA
Enumeration date
03/21/2006
Last updated
02/18/2015
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