JOHNATHAN R GRANT

VINCENNES, IN
NPI1740272251
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IN  02004177A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IN  02004177A)
207R00000X Internal Medicine
(Licence: MI  5101017295)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IN  02004177A)
Enumeration Date2005-08-19
Last Update Date2019-01-11
Business Address
JOHNATHAN R GRANT DO
520 S 7TH ST
VINCENNES, IN 47591
Phone number: 812-885-3243
Mailing Address
JOHNATHAN R GRANT DO
520 S 7TH ST
VINCENNES, IN 47591-1038
Phone number: