Individual provider · Type 1 NPI
Paulette Kathleen Grant, P.A.C.
Medical Physician Assistant · Clyde, OH
NPI number
1295763274
Active
Practice location
112 Independence Way Ste 110
Clyde, OH 43410-9812
Fax (419) 483-9003
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Other practice locations
- 813 Northwest St, Bellevue, OH 44811-0123 · (419) 483-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 50-00-0434 (OH) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1295763274
Paulette Kathleen Grant, P.A.C.'s National Provider Identifier is 1295763274, issued on Jun 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clyde, OH. The record was last updated on Sep 21, 2018.