Mark E Grandon is a Surgical Physician Assistant based in Chicago, KY and is specialized in Surgical. Mark E Grandon practices in Louisville, KY and has the professional credentials of PA-C. The NPI Number for Mark E Grandon is 1386683852 and holds a License No. PA155 (Kentucky).
The current practice location address for Mark E Grandon is 3 Audubon Plaza Dr, Louisville, KY and can be reached out via phone at 502-636-8004 and via fax at 502-636-8384.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121030 | 01 | KY | SIHO - CTS |
| 50032501 | 01 | KY | PASSPORT/PASSPORT ADVANTAGE - CTS |
| 95001558 | 05 | KY | |
| 000000689934 | 01 | KY | ANTHEM - CTS |
| 1299470001 | 01 | KY | PTAN |
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