Individual
DR. STEPHEN BERNARD GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1449 NW 128TH ST, CLIVE, IA 50325-7400
(515) 358-9600
(515) 358-9650
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-9600
(515) 358-9650
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
38506
IA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD-38506
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167122
—
IA
Enumeration date
08/29/2006
Last updated
05/01/2019
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