Individual
DR. JASON EDWARD GRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17310 WRIGHT ST STE 103, OMAHA, NE 68130-2405
(833) 228-6889
(877) 853-0376
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
15088
ND
2085R0202X
Diagnostic Radiology Physician
2005019089
MO
2085R0202X
Diagnostic Radiology Physician
Primary
22159
NE
2085R0202X
Diagnostic Radiology Physician
9563A
WY
2085R0202X
Diagnostic Radiology Physician
M9390
ID
Other
Enumeration date
04/05/2006
Last updated
09/23/2025
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