Macdavid, Michelle Granstrom

Macdavid, Michelle Granstrom is an individual health care provider with primary practice located at 4171 Westport Rd , Louisville KY 40207-2739. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Macdavid, Michelle Granstrom can be contacted via phone (502) 896-8868.

Contact Information

Primary practice address
4171 Westport Rd Louisville KY 40207-2739
Phone: (502) 896-8868
Fax: (502) 895-6278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55766 Kentucky

Profile Details

NPI number 1790212751
LBN Legal business name Macdavid, Michelle Granstrom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2017
Last updated Apr 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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