Individual
JENNIFER C GRANQUIST-MEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
701 HEWITT BVLD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
701 HEWITT BVLD, RED WING, MN 55066-2848
(651) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
691
MN
Other
Enumeration date
02/24/2006
Last updated
02/04/2021
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