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Individual

GRANT S HAMILTON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
105393
MN
207Y00000X
Otolaryngology Physician
Primary
54124
MN
207YS0123X
Facial Plastic Surgery Physician
36295
IA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
36295
IA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
36295
IA

Other

Enumeration date
11/21/2005
Last updated
08/14/2020
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