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Individual

GRANT C MORRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
155 RADIO DR, WOODBURY, MN 55125-2619
(952) 831-8742
(612) 359-0475
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37465
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
37465
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
245755500
MN
Enumeration date
11/03/2006
Last updated
06/13/2023
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