IndividualActive
Mark Grant, MD
NPI 1669610960 · Trauma Surgery Physician · Bangor, ME
Provider details
- NPI number
- 1669610960
- Entity type
- Individual
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 018796 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
489 State St
Bangor, ME 04401-6616
Phone: (207) 973-7000
Fax: (207) 973-5042
Approximate (ZIP-level) locationGet directions
Mailing address
43 Whiting Hill Rd
Brewer, ME 04412-1005
Registry dates
- Enumerated
- 2009-01-26
- Last updated
- 2019-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.