Connie Marie Grandia in Owatonna - Physician Assistant
Connie Marie Grandia - NPI 1699796052
Connie Marie Grandia is a Physician Assistant in Owatonna, Minnesota. Connie Marie Grandia practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Connie Marie Grandia is 1699796052. The last update date is 2008-10-28.
Connie Marie Grandia's current location address is 2200 Nw 26th St, Owatonna, Minnesota. You can contact this provider via phone number 5074511120 and fax number 5074446287. The mailing address for Connie Marie Grandia is 2200 Nw 26th St, Owatonna, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Marie Grandia |
|---|---|
| Address | 2200 Nw 26th St, Owatonna, Minnesota |
| Phone Number | 5074511120 |
| Fax Number | 5074446287 |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1699796052 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2008-10-28 |
Provider Mailing Address Detail
| Address | 2200 Nw 26th St |
|---|---|
| City | Owatonna |
| State | Minnesota (MN) |
| Post Code | 550605503 |
| Phone Number | 5074511120 |
| Fax Number | 5074446287 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9651 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 767608500 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Connie Marie Grandia by the Centers for Medicare & Medicaid Services?
The Connie Marie Grandia has been assigned the NPI (National Provider Identifier) 1699796052 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Connie Marie Grandia?
The Connie Marie Grandia is situated at 2200 Nw 26Th St, in the city of Owatonna, state of MN, with the zip code 550605503.
What is the area of specialization for Connie Marie Grandia, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Connie Marie Grandia is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did Connie Marie Grandia receive its 1699796052 assignment from the Centers for Medicare & Medicaid Services?
The Connie Marie Grandia was assigned its 1699796052 on 2006-07-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Connie Marie Grandia last refreshed?
The information related to the Connie Marie Grandia, including its address, specialty, and other relevant details, was last updated on 2008-10-28.
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