Granrud, Gregory Allen
Granrud, Gregory Allen is an individual health care provider with primary practice located at 225 Smith Ave N Suite 500, Saint Paul MN 55102-2534. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Granrud, Gregory Allen can be contacted via phone (651) 292-0616.Contact Information
Primary practice address
225 Smith Ave N Suite 500
Saint Paul MN 55102-2534
Phone: (651) 292-0616
Fax: (651) 726-7256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 24998 | Minnesota |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 24998 | Minnesota |
Profile Details
| NPI number | 1366416893 |
|---|---|
| LBN Legal business name | Granrud, Gregory Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jun 4th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366416893 | NPPES |
| Minnesota | MEDICAID | 894270600 | |
| Minnesota | MEDICAID | 30578300 |
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