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Dr. Michael Edward Grant, MD,PHD
Specialist in Blaine, Minnesota
NPI 1902112253

Michael Edward Grant is a Specialist based in Blaine, MN. Michael Edward Grant practices in Blaine, MN and has the professional credentials of MD,PHD. The NPI Number for Michael Edward Grant is 1902112253 and holds a License No. 502209 (Minnesota).

The current practice location address for Michael Edward Grant is 3890 Pheasant Ridge Dr Ne, Blaine, MN and can be reached out via phone at 763-792-9507 and via fax at 763-792-9514.

Location: 3890 Pheasant Ridge Dr Ne, Blaine, MN, 55449-5854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902112253
Provider Name
Michael Edward Grant
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
3890 Pheasant Ridge Dr Ne, Blaine, MN, 55449-5854
Phone Number
763-792-9507
Fax Number
763-792-9514
Provider Enumeration Date
08/25/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
502209 01 MN BOARD OF PHARMANCY LICENSE
institution
Provider Business Practice Location Address Details
Address
3890 Pheasant Ridge Dr Ne
City
Blaine
State
Minnesota
Zip
55449-5854
Phone Number
763-792-9507
Fax Number
763-792-9514
person
Provider Business Mailing Address Details
Address
3890 Pheasant Ridge Dr Ne
City
Blaine
State
Minnesota
Zip
55449-5854
Phone Number
763-792-9507
Fax Number
763-792-9514
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
502209 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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