Individual
GRANT MATTHEW HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2421
(319) 356-3949
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2421
(319) 356-3949
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2018018699
MO
208800000X
Urology Physician
74414
MN
208800000X
Urology Physician
Primary
MD-55103
IA
Other
Enumeration date
06/21/2018
Last updated
09/20/2025
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