Individual
MR. GRANT MILES LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9303 PARK WEST BLVD, KNOXVILLE, TN 37923-4322
(865) 690-2111
(865) 691-1623
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26469
TN
Other
Enumeration date
03/24/2006
Last updated
06/17/2011
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