Individual
CORINNE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
25A JUNE ST STE 111, SANFORD, ME 04073
(207) 490-7998
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 490-7998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
255973
MA
207Q00000X
Family Medicine Physician
Primary
DO2655
ME
Other
Enumeration date
06/20/2013
Last updated
03/11/2019
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