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Individual

NAKASH GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.096628
OH
207RC0000X
Cardiovascular Disease Physician
Primary
71706
WI
207RC0000X
Cardiovascular Disease Physician
MD206877
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01278266
MS
05
100093116
WI
05
1366691016
WI
05
2372866
LA
Enumeration date
09/17/2008
Last updated
11/24/2025
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