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Individual

DR. ROBERT D GRANDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2940 N MCCORD RD, TOLEDO, OH 43615-1753
(419) 842-3000
(419) 842-3042
Mailing address
2940 N MCCORD RD, TOLEDO, OH 43615-1753
(419) 842-3000
(419) 842-3042

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35095842
OH
207RC0000X
Cardiovascular Disease Physician
4301084238
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000673192
ANTHEM
01
06927
PARAMOUNT HEALTH CARE
05
3076291
OH
01
9032573
AETNA
01
P00864034
RAILROAD MEDICARE
OH
Enumeration date
03/26/2007
Last updated
11/03/2023
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