DR. MICHAEL EDWARD GRANT MD,PHD
NPI 1902112253
Specialist in Blaine, MN

Active since August 25, 2010
3890 PHEASANT RIDGE DR NE, BLAINE, MN 55449(763) 792-9507(763) 792-9514 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Michael Edward Grant Md,phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL EDWARD GRANT MD,PHD (NPI 1902112253) is an individual specialist in Blaine, Minnesota, licensed in Minnesota (502209) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1902112253
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MICHAEL EDWARD GRANTCredential: MD,PHD
Location Address3890 PHEASANT RIDGE DR NEBlaine, MN 55449-5854
Mailing Address3890 Pheasant Ridge Dr NeBlaine, MN 55449-5854 · (763) 792-9507 · Fax (763) 792-9514
Fax(763) 792-9514
Sole ProprietorNo
Enumeration DateAugust 25, 2010
Last NPPES UpdateMarch 7, 2023
✔ NPI 1902112253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MN · 502209
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.
3890 PHEASANT RIDGE DR NE, Blaine, MN 55449

Other Identifiers 1

Other502209MN · Board Of Pharmancy License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Grant's NPI number?

The NPI number for Michael Grant is 1902112253. It was assigned to this individual provider in the NPPES registry on August 25, 2010.

Where is Michael Grant located?

Michael Grant practices at 3890 Pheasant Ridge Dr NE, Blaine, MN 55449. The listed phone number is (763) 792-9507.

What is Michael Grant's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michael Grant was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.