Individual
GRANT MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4535
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/21/2018
Last updated
10/11/2021
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