Individual
GRANT EDLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 842-3000
(701) 842-6248
Mailing address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 842-3000
(701) 842-6248
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
036.165111
IL
Other
Enumeration date
04/06/2020
Last updated
04/28/2026
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