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Dr. Michael Thomas Grant, MD
Specialist in West Seneca, New York
NPI 1982694717

Michael Thomas Grant is a Specialist based in West Seneca, NY. Michael Thomas Grant practices in West Seneca, NY and has the professional credentials of MD. The NPI Number for Michael Thomas Grant is 1982694717 and holds a License No. 147528 (New York).

The current practice location address for Michael Thomas Grant is 550 Orchard Park Rd, West Seneca, NY and can be reached out via phone at 716-677-6404 and via fax at 716-677-6407.

Location: 550 Orchard Park Rd, West Seneca, NY, 14224-2646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982694717
Provider Name
Michael Thomas Grant
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
550 Orchard Park Rd, West Seneca, NY, 14224-2646
Phone Number
716-677-6404
Fax Number
716-677-6407
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00886879 05 NY
BB1860 01 NY MEDICARE
00010067501 01 NY UNIVERA
0902816 01 NY INDEPENDENT HEALTH
AA0091 01 MEDICARE LEGACY #
000500843001 01 NY BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
550 Orchard Park Rd
City
West Seneca
State
New York
Zip
14224-2646
Phone Number
716-677-6404
Fax Number
716-677-6407
person
Provider Business Mailing Address Details
Address
550 Orchard Park Rd
City
West Seneca
State
New York
Zip
14224-2646
Phone Number
716-677-6404
Fax Number
716-677-6407
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
147528 (New York)
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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