Individual
MAKENZIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
983040 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-3040
(402) 559-8501
Mailing address
983040 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-3040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9333
NE
208000000X
Pediatrics Physician
9333
NE
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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