Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902112253 Individual Practitioner Male Practitioner

Dr. Michael Edward Grant , MD, PhD

Specialist • Blaine, MN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Grant, MD, PhD is a registered healthcare professional specializing in Specialist in Blaine, MN. Practice services are available at 3890 PHEASANT RIDGE DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3890 Pheasant Ridge Dr Ne

Blaine, MN 554495854

Telephone 7637929507
Fax 7637929514

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Blaine, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Blaine, MN (877 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 502209

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Board Of Pharmancy License
502209 (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 25, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2010

Registered at 3890 PHEASANT RIDGE DR NE, BLAINE, MN 554495854 (Tel: 7637929507)

📍
Updated Business Mailing Address August 25, 2010

Registered at 3890 PHEASANT RIDGE DR NE, BLAINE, MN 554495854 (Tel: 7637929507)

👤
Provider Name / Credentials Updated August 25, 2010

Recorded as MICHAEL GRANT, MD,PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2010

Specialist (License #502209 in MN)

🟢
Initial NPI Registration & Enumeration August 25, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902112253
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2010
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

3890 Pheasant Ridge Dr Ne

Blaine, MN 554495854

Phone: 7637929507

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.