Individual
GRANT Y NAKAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 2ND ST E STE 101, WHITEFISH, MT 59937-2402
(406) 304-6898
(406) 235-7079
Mailing address
144 2ND ST E STE 101, WHITEFISH, MT 59937-2402
(406) 304-6898
(406) 235-7079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32057
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077068000
—
MN
Enumeration date
08/15/2006
Last updated
08/12/2020
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