Individual
MADISON GRAUSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 GRAYDON AVE, BRAINERD, MN 56401-4323
(218) 232-2481
Mailing address
1721 GRAYDON AVE, BRAINERD, MN 56401-4323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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