Grendahl, Robin

Grendahl, Robin is an individual health care provider with primary practice located at 3500 Latouche St Suite 280, Anchorage AK 99508-4209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Grendahl, Robin can be contacted via phone (907) 561-1917.

Contact Information

Primary practice address
3500 Latouche St Suite 280 Anchorage AK 99508-4209
Fax: (907) 563-5373
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD3686 Alaska

Profile Details

NPI number 1730281684
LBN Legal business name Grendahl, Robin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Oct 4th, 2011 - about 14 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 1730281684 NPPES
Alaska MEDICAID MD3686

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