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GRANT EDWARD LATTIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(240) 857-2086
Mailing address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(301) 229-2597

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A91663
CA
2085R0202X
Diagnostic Radiology Physician
D0087914
MD

Other

Enumeration date
11/01/2006
Last updated
11/19/2024
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