# THOMAS E GRANDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407832900
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 23251 | MN | Yes |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 01/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0010508 | PREFERRED ONE | — |
| 01 | — | 0702266 | MEDICA CHOICE | — |
| 01 | — | 102206C280 | UCARE | — |
| 01 | — | 160000060 | METRAHEALTH MEDICARE | — |
| 01 | — | 160011624 | RR MEDICARE | — |
| 01 | — | 23182GR | BCBS | — |
| 01 | — | 23250 | ARAZ | — |
| 01 | — | 30476000 | WISCONSIN MA | — |
| 01 | — | 633300100 | MINNESOTA MEDICAL ASSISTA | — |
| 05 | — | 633300100 | — | MN |
| 01 | — | 92332 | MEDICA PRIMARY | — |
| 01 | — | 960980010508 | PREICH PROVIDER | — |
| 01 | — | A93914 | CHOICE PLUS | — |
| 01 | — | HP13407 | EMHO | — |