Individual
IAIN L GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
974 BETHEL RD STE A, COLUMBUS, OH 43214-2467
(614) 273-1014
(614) 273-1015
Mailing address
1810 MACKENZIE DR, 2ND FLOOR, COLUMBUS, OH 43220-2967
(614) 273-2234
(614) 273-2255
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35073998G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2169504
—
OH
Enumeration date
02/01/2006
Last updated
08/30/2011
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