Individual
GRANT GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, RN, PMHNP-BC
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-5327
Mailing address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-5327
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1999194
MN
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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