Provider Demographics
NPI:1689378739
Name:GRASING, MICHAEL JOHN (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JOHN
Last Name:GRASING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12209 BRIAR DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-1520
Mailing Address - Country:US
Mailing Address - Phone:913-901-7935
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF RADIOLOGY 3901 RAINBOW BLVD MS 4032
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-2635
Practice Address - Country:US
Practice Address - Phone:913-574-0338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2024-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS94-117082085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology