Clive S Grant in Rochester - Surgery

Clive S Grant - NPI 1700864600

Clive S Grant is a Surgery in Rochester, Minnesota. Clive S Grant practices all healthcare services and medical treatments related to Surgery. The NPI Number for Clive S Grant is 1700864600. The last update date is 2015-09-25.

Clive S Grant's current location address is 200 1st St Sw, Rochester, Minnesota. You can contact this provider via phone number 5072842511. The mailing address for Clive S Grant is 200 1st St Sw, Rochester, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Clive S Grant
Address 200 1st St Sw, Rochester, Minnesota
Phone Number 5072842511
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1700864600
Provider Enumeration Date 2006-01-03
Last Updated Date 2015-09-25

Provider Mailing Address Detail

Address 200 1st St Sw
City Rochester
State Minnesota (MN)
Post Code 559050001
Phone Number 5072842511
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 22859
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
35139900 WI --
331725100 MN --
20008415 MN RAILROAD MEDICARE
ENROLLED IA --

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FAQs about Clive S Grant

What is the unique 10-digit identifier code assigned to Clive S Grant by the Centers for Medicare & Medicaid Services?

The Clive S Grant has been issued the NPI (National Provider Identifier) 1700864600 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Clive S Grant is physically located?

The Clive S Grant is situated at the following address: 200 1St St Sw, Rochester, MN 559050001.

What is the Clive S Grant's specialty and taxonomy code?

The Clive S Grant's specialty is Surgery, and the corresponding taxonomy code is 208600000X.

On what date did the Clive S Grant receive its 1700864600 assignment from the Centers for Medicare & Medicaid Services?

The Clive S Grant was assigned its 1700864600 by the Centers for Medicare & Medicaid Services on 2006-01-03.

As of what date was the information regarding Clive S Grant, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Clive S Grant, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-09-25.

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