Individual
PAMELA S MCGRANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 2168, FARGO, ND 58122-2484
(701) 234-2000
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
34027
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686818500
—
MN
Enumeration date
01/26/2006
Last updated
01/11/2017
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