Individual
MRS. ALLISON R GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-4500
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 445-4500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578936357
—
OH
Enumeration date
11/03/2015
Last updated
07/10/2019
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