Individual
MAGALIE NADINE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4502
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4529
(907) 714-4529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1619234085
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730530
—
AK
01
—
191500
AK LICENSE
AK
Enumeration date
04/23/2012
Last updated
02/22/2025
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