Individual
GRANT MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
303 CATLIN ST, BUFFALO, MN 55313-1947
(763) 682-5225
(763) 684-6111
Mailing address
303 CATLIN ST, BUFFALO, MN 55313-1947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10750
MN
Other
Enumeration date
07/15/2010
Last updated
03/11/2021
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