Individual
MADISON L GRINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LAURITZEN OUTPATIENT CENTER, 4014 LEAVENWORTH ST, OMAHA, NE 68105
(800) 922-0000
Mailing address
4911 CALIFORNIA ST, OMAHA, NE 68132-2417
(402) 290-4246
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9334
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/13/2021
Last updated
06/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us