Individual
SHAUN L. GRAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7261 MERCY RD, NORTH BUILDING, OMAHA, NE 68124-2311
(402) 398-6254
(402) 829-8513
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 398-6254
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1827
NE
363AM0700X
Medical Physician Assistant
—
IA
Other
Enumeration date
09/12/2007
Last updated
01/21/2015
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