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Mr. Alexander V Grandt
Family Nurse Practitioner in Urbana, Illinois
NPI 1689687295

Alexander V Grandt is a Family Nurse Practitioner based in Urbana, IL and is specialized in Family. Alexander V Grandt practices in Urbana, IL. The NPI Number for Alexander V Grandt is 1689687295 and holds a License No. 209.006172 (Illinois).

The current practice location address for Alexander V Grandt is 1109 S Lincoln Ave, Urbana, IL and can be reached out via phone at 217-333-2711.

Location: 1109 S Lincoln Ave, Urbana, IL, 61801-4703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689687295
Provider Name
Alexander V Grandt
Credential
Provider Entity Type
Individual
Gender
Male
Address
1109 S Lincoln Ave, Urbana, IL, 61801-4703
Phone Number
217-333-2711
Fax Number
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1109 S Lincoln Ave
City
Urbana
State
Illinois
Zip
61801-4703
Phone Number
217-333-2711
Fax Number
person
Provider Business Mailing Address Details
Address
1109 S Lincoln Ave
City
Urbana
State
Illinois
Zip
61801-4703
Phone Number
217-333-2711
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.006172 (Illinois)
Definition
Definition to come...
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