Organization
M. GRETCHEN GRANT, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M GRETCHEN GRANT MD (OWNER)
(518) 371-3391
Entity
Organization
Contact information
Practice address
989 ROUTE 146 STE 300, SUITE 303, CLIFTON PARK, NY 12065-3647
(518) 371-3391
Mailing address
989 ROUTE 146 STE 300, SUITE 303, CLIFTON PARK, NY 12065-3647
(518) 371-3391
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
142726
NY
Other
Enumeration date
10/27/2006
Last updated
09/25/2007
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