Individual
DR. GRANT MICHAEL BARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
DOR4GO2
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242978211
—
MO
01
—
P00303899
RAILROAD MEDICARE
MO
Enumeration date
07/14/2005
Last updated
05/05/2008
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