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MARVIN GRENDAHL MD

>> Ophthalmology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1871695791

Individual Registrant:
 MARVIN  GRENDAHL MD
Gender: M
Sole Proprietor

Location and contact information for practice:
3500 LATOUCHE ST SUITE 230 ANCHORAGE, AK 99508-4209 US
Tel: 907-561-1917  Fax: 907-563-5373

Contact information for business:
3500 LATOUCHE ST SUITE 230 ANCHORAGE, AK 99508-4209 US
Tel: 907-561-1917  Fax: 907-563-5373

Registration Information:
NPI: 1871695791
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207W00000XAllopathic & Osteopathic Physicians
Ophthalmology
AKMD1417

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MD1417AK05




HEALTH CARE JOBS AK - Page 1



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