Individual provider · Type 1 NPI

Michael F. Grantham, MD

Diagnostic Radiology Physician · Mishawaka, IN

NPI number 1649264342 Active

Practice location

620 W Edison Rd, Suite 110
Mishawaka, IN 46545-2784

Call (574) 258-1100 Map

Fax (574) 258-1101

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X01051989 (IN)
Body Imaging Physician 2085B0100X01051989 (IN)
Neuroradiology Physician 2085N0700X01051989 (IN)
Nuclear Radiology Physician 2085N0904X01051989 (IN)
Pediatric Radiology Physician 2085P0229X01051989 (IN)
Therapeutic Radiology Physician 2085R0203X01051989 (IN)
Vascular & Interventional Radiology Physician 2085R0204X01051989 (IN)
Diagnostic Ultrasound Physician 2085U0001X01051989 (IN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1649264342

Michael F. Grantham, MD's National Provider Identifier is 1649264342, issued on Sep 8, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mishawaka, IN. The record was last updated on May 16, 2013.