Individual
GARY LEE GRANSETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 GILMORE AVE, WINONA, MN 55987
(507) 452-8668
Mailing address
1201 GILMORE AVE, WINONA, MN 55987
(507) 452-8668
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8669
MN
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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