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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366416893 NPPES
Minnesota MEDICAID 894270600
Minnesota MEDICAID 30578300

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