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Individual

DR. MICHAEL S GRINBLATT

Active
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Individual

DR. MICHAEL S GRINBLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
35052369G
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060054866
RAILROAD MEDICARE
OH
05
0703117
OH
Enumeration date
09/08/2005
Last updated
10/26/2012
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