Marin Granholm in Anchorage - Family Medicine
Marin Granholm - NPI 1063633055
Marin Granholm is a Family Medicine in Anchorage, Alaska. Marin Granholm practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Marin Granholm is 1063633055. The last update date is 2018-03-17.
Marin Granholm's current location address is 1201 E 36th Ave, Anchorage, Alaska. You can contact this provider via phone number 9075629229 and fax number 9075621603. The mailing address for Marin Granholm is 1201 E 36th Ave, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marin Granholm |
|---|---|
| Address | 1201 E 36th Ave, Anchorage, Alaska |
| Phone Number | 9075629229 |
| Fax Number | 9075621603 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063633055 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 1201 E 36th Ave |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995084372 |
| Phone Number | 9075629229 |
| Fax Number | 9075621603 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5017 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1014300 | AK | -- |
Post Comment/ Review Below
What is the Marin Granholm's unique identification number?
The Marin Granholm has been assigned the NPI (National Provider Identifier) Number 1063633055 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Marin Granholm's physical address?
The Marin Granholm is physically located at 1201 E 36Th Ave, in the city of Anchorage, AK, with the postal code 995084372.
What is Marin Granholm's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marin Granholm's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did Marin Granholm receive its 1063633055 assignment?
The Marin Granholm was assigned its 1063633055 on 2007-05-01, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Marin Granholm, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marin Granholm, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.