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Dr. Jonathan R Grant, MD
Plastic and Reconstructive Surgery Physician in Mount Vernon, Washington
NPI 1912064577

Jonathan R Grant is a Plastic and Reconstructive Surgery Physician based in Mount Vernon, WA and is specialized in Plastic and Reconstructive Surgery. Jonathan R Grant practices in Mount Vernon, WA and has the professional credentials of MD. The NPI Number for Jonathan R Grant is 1912064577 and holds a License No. 47898-020 (Washington).

The current practice location address for Jonathan R Grant is 111 S 13Th St, Mount Vernon, WA and can be reached out via phone at 360-336-2178 and via fax at 360-336-1674.

Location: 111 S 13Th St, Mount Vernon, WA, 98274-4105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912064577
Provider Name
Jonathan R Grant
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 S 13Th St, Mount Vernon, WA, 98274-4105
Phone Number
360-336-2178
Fax Number
360-336-1674
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0271141 01 WA LABOR AND INDUSTRIES
2009841 05 WA
P00700778 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
111 S 13Th St
City
Mount Vernon
State
Washington
Zip
98274-4105
Phone Number
360-336-2178
Fax Number
360-336-1674
person
Provider Business Mailing Address Details
Address
111 S 13Th St
City
Mount Vernon
State
Washington
Zip
98274-4105
Phone Number
360-336-2178
Fax Number
360-336-1674
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
MD60187241 (Washington)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
MD60187241 (Washington)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
MD60187241 (Washington)
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
242010 (Massachusetts)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
47898-020 (Wisconsin)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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