person
Stephen Keith Grandfield, DPM
Foot & Ankle Surgery Podiatrist in Merrillville, Indiana
NPI 1811008204

Stephen Keith Grandfield is a Foot & Ankle Surgery Podiatrist based in Merrillville, IN and is specialized in Foot & Ankle Surgery. Stephen Keith Grandfield practices in Merrillville, IN and has the professional credentials of DPM. The NPI Number for Stephen Keith Grandfield is 1811008204 and holds a License No. 07000353A (Indiana).

The current practice location address for Stephen Keith Grandfield is 303 W 89Th Ave, Merrillville, IN and can be reached out via phone at 219-736-8915 and via fax at 219-736-8928.

Location: 303 W 89Th Ave, Merrillville, IN, 46410-6294
person
Provider Profile Details
NPI Number
1811008204
Provider Name
Stephen Keith Grandfield
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
303 W 89Th Ave, Merrillville, IN, 46410-6294
Phone Number
219-736-8915
Fax Number
219-736-8928
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100166360A 05 IN
100166360B 05 IN
1089370001 01 IN MEDICARE DMERC
480016271 01 IN RR MEDICARE
100207960A 05 IN
institution
Provider Business Practice Location Address Details
Address
303 W 89Th Ave
City
State
Zip
46410-6294
Phone Number
219-736-8915
Fax Number
219-736-8928
person
Provider Business Mailing Address Details
Address
303 W 89Th Ave
City
State
Zip
46410-6294
Phone Number
219-736-8915
Fax Number
219-736-8928
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
07000353A (Indiana)
Definition
Definition to come...
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