Syverson, Grant Douglas
Syverson, Grant Douglas is an individual health care provider with primary practice located at 2920 White Bear Ave N , Maplewood MN 55109-1304. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Syverson, Grant Douglas can be contacted via phone (651) 251-9938.Contact Information
Primary practice address
2920 White Bear Ave N
Maplewood MN 55109-1304
Phone: (651) 251-9938
Fax: (651) 251-9944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 123005 | Minnesota |
Profile Details
| NPI number | 1487265047 |
|---|---|
| LBN Legal business name | Syverson, Grant Douglas |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2020 |
| Last updated | Aug 16th, 2020 - about 6 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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