Individual
DR. MICHAEL S GRINBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7200 MENTOR AVE, MENTOR, OH 44060-7522
(440) 942-5400
(440) 942-9055
Mailing address
7200 MENTOR AVE, MENTOR, OH 44060-7522
(440) 942-5400
(440) 942-9055
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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