Individual
DR. GRANT ALEXANDER REDSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C. FIAMA, PC
Contact information
Practice address
1750 105TH AVENUE NE, BLAINE, MN 55449
(763) 780-0356
Mailing address
1750 105TH AVENUE NE, BLAINE, MN 55449-4500
(763) 780-0356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2774307-1202
UT
Other
Enumeration date
12/15/2008
Last updated
05/25/2016
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