DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SUZETTE M GRANT, INDIVIDUAL

Active Sole Proprietor

MS. SUZETTE M GRANT, INDIVIDUAL is a Preferred Provider Organization healthcare provider located in COLUMBIA FALLS, Maine. NPI 1306982780 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · COLUMBIA FALLS, ME

Registration Details

NPI Number
1306982780
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2007 (19.558459319234 yrs)
Last Updated
Jul 8, 2007
License
3002032 (ME)
Sole Proprietor
Yes

Practice Information

Address
860 TIBBETTSTOWN RD
COLUMBIA FALLS, ME, 046235021
Browse ME providers · Browse ZIP 04623
Phone
2074832883
Primary Specialty
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.