Individual
THOMAS E GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1655 BEAM AVE, METROPOLITAN OBSTETRICS & GYNECOLOGY PA #102, MAPLEWOOD, MN 55109-1163
(651) 227-9141
(651) 265-6772
Mailing address
17 EXCHANGE ST W, METROPOLITAN OBSTETRICS & GYNECOLOGY PA #622, SAINT PAUL, MN 55102-1045
(651) 227-9141
(651) 265-6772
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23251
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010508
PREFERRED ONE
—
01
—
0702266
SELECT CARE
—
01
—
102206C280
UCARE
—
01
—
160000060
METRAHEALTH MEDICARE
—
01
—
160011624
RR MEDICARE
—
01
—
23182GR
BCBS
—
01
—
23250
ARAZ
—
01
—
30476000
WISCONSIN MA
—
01
—
633300100
MINNESOTA MEDICAL ASSISTA
—
05
—
633300100
—
MN
01
—
92332
MEDICA PRIMARY
—
01
—
960980010508
PREICH PROVIDER
—
01
—
A93914
CHOICE PLUS
—
01
—
HP13407
EMHO
—
Enumeration date
12/16/2005
Last updated
01/09/2017
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