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DR. EDMUND MICHAEL GRADY MD NPI 1598115073


NPI Information

NPI: 1598115073
Provider Name: DR. EDMUND MICHAEL GRADY, MD
Classification: Surgery - 2086S0105X
Entity Type: Individual

Specialization: Surgery of the Hand

PECOS Registration: Yes

Address:
11012 E 13 MILE RD STE 112
WARREN, MI
ZIP 48093
Phone: (586) 573-6880
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DR. Edmund Michael Grady, MD is a surgery of the hand surgery in Warren, MI with 8 years of experience. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Edmund Michael Grady, MD NPI is 1598115073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

11012 E 13 MILE RD STE 112
WARREN, MI
ZIP 48093-546
Phone: (586) 573-6880

The NPI 1598115073 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2016 and was last updated on 2/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0105XSurgerySurgery of the Hand54975KENTUCKYNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32086S0105XSurgerySurgery of the Hand4301506748MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.