Individual
RYAN L GRANDGENETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1018 DUFF AVE, MCFARLAND CLINIC PC, AMES, IA 50010-3014
(515) 663-8621
(515) 663-8620
Mailing address
PO BOX 3014, MCFARLAND CLINIC PC 1215 DUFF AVE, AMES, IA 50010-3014
(515) 239-4400
(515) 239-4446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37407
IA
207Q00000X
Family Medicine Physician
44886020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316999865
—
IA
Enumeration date
05/16/2006
Last updated
11/13/2020
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