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Grant Anderson
NPI 1326441213 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4353 Kentucky St
Gary, IN 46409 - Phone
- (219) 677-7668
Registry record
- Primary taxonomy
- 343800000X
343800000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana