National Provider Identifier
Michael Thomas Grant, M D
Michael Thomas Grant, M D is listed in the NPPES registry with a primary specialty of Specialist in West Seneca, NY and a listed phone number of (716) 677-6404.
Profile Overview
- NPI
- 1982694717
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- October 24, 2005
- Last Updated
- January 23, 2012
Practice Location
- 550 Orchard Park RD
- Building B, Suite 105
- West Seneca, NY 14224-2646
Phone: (716) 677-6404
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1982694717
- Entity Type
- Individual
- Last Name
- Grant
- First Name
- Michael
- Middle Name
- Thomas
- Name Prefix
- Dr.
- Credential
- M D
- Mailing Street Address
- 550 Orchard Park RD
- Mailing Address Line 2
- Building B, Suite 105
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-2646
- Mailing Country
- US
- Mailing Phone
- (716) 677-6404
- Mailing Fax
- (716) 677-6407
- Practice Street Address
- 550 Orchard Park RD
- Practice Address Line 2
- Building B, Suite 105
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-2646
- Practice Country
- US
- Practice Phone
- (716) 677-6404
- Practice Fax
- (716) 677-6407
- Enumeration Date
- October 24, 2005
- Last Updated
- January 23, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 00886879 (NY), BB1860 (NY, Medicare), 00010067501 (NY, Univera), 0902816 (NY, Independent Health), AA0091 (Medicare Legacy #), 000500843001 (NY, Blue Cross)