person
Mr. Nicholas J Grande JR., PAC
Medical Physician Assistant in Davenport, Iowa
NPI 1316085756

Nicholas J Grande JR. is a Medical Physician Assistant based in Fort Riley, IA and is specialized in Medical. Nicholas J Grande JR. practices in Davenport, IA and has the professional credentials of PAC. The NPI Number for Nicholas J Grande JR. is 1316085756 and holds a License No. (Iowa).

The current practice location address for Nicholas J Grande JR. is 1227 E Rusholme St, Davenport, IA and can be reached out via phone at 563-421-1000. You can also correspond with Nicholas J Grande JR. through the mailing address at 650 HUEBNER RD, FORT RILEY, KS - 66442-4030 (mailing address contact number: ).

Location: 1227 E Rusholme St, Davenport, IA, 66442-4030
person
Provider Profile Details
NPI Number
1316085756
Provider Name
Nicholas J Grande JR.
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1227 E Rusholme St, Davenport, IA, 66442-4030
Phone Number
563-421-1000
Fax Number
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1227 E Rusholme St
City
State
Zip
52803-2459
Phone Number
563-421-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1227 E Rusholme St
City
State
Zip
52803-2459
Phone Number
563-421-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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