Morrison, Grant C

Morrison, Grant C is an individual health care provider with primary practice located at 155 Radio Dr , Woodbury MN 55125-2619. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Morrison, Grant C can be contacted via phone (952) 831-8742.

Contact Information

Primary practice address
155 Radio Dr Woodbury MN 55125-2619
Phone: (952) 831-8742
Fax: (612) 359-0475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37465 Minnesota
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 37465 Minnesota

Profile Details

NPI number 1790864395
LBN Legal business name Morrison, Grant C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jun 13th, 2023 - about 2 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 1790864395 NPPES
Minnesota MEDICAID 245755500

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