Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN R GRANT, MD
ActiveDR. JONATHAN R GRANT, MD is a Facial Plastic Surgery healthcare provider located in MOUNT VERNON, Washington. NPI 1912064577 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · MOUNT VERNON, WA
Registration Details
- NPI Number
- 1912064577
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2007 (19.59849491018 yrs)
- Last Updated
- Mar 15, 2012
- Licenses
-
47898-020 (WI)242010 (MA)MD60187241 (WA)MD60187241 (WA)MD60187241 (WA)
Practice Information
- Address
-
111 S 13TH STMOUNT VERNON, WA, 982744105Browse WA providers · Browse ZIP 98274
- Phone
- 3603362178
- Fax
- 3603361674
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Otolaryngology
- Additional Specialty
- Facial Plastic Surgery
- Additional Specialty
- Plastic Surgery within the Head & Neck
- Additional Specialty
- General Surgery
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.