Individual
GRANT MICHAEL ZOMERMAAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5000
(952) 932-6090
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
34944
NE
2085R0202X
Diagnostic Radiology Physician
Primary
76473
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2018
Last updated
06/19/2024
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