Individual
GRANT FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
423 NE 4TH ST, 1, GRAND RAPIDS, MN 55744-2968
(218) 326-8283
Mailing address
423 NE 4TH ST, 1, GRAND RAPIDS, MN 55744-2968
(218) 326-8283
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6282
MN
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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