Grandgenett, Ryan L

Grandgenett, Ryan L is an individual health care provider with primary practice located at 1018 Duff Ave Mcfarland Clinic Pc, Ames IA 50010-3014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grandgenett, Ryan L can be contacted via phone (515) 663-8621.

Contact Information

Primary practice address
1018 Duff Ave Mcfarland Clinic Pc Ames IA 50010-3014
Phone: (515) 663-8621
Fax: (515) 663-8620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44886020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37407 Iowa

Profile Details

NPI number 1316999865
LBN Legal business name Grandgenett, Ryan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 13th, 2020 - about 5 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 1316999865 NPPES
Iowa MEDICAID 1316999865

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