Search › Indiana › 2085R0202X
Grant Mackinnon, MD
NPI 1720666795 · on the registry since 2021
Practice
- Address
- 7950 W Jefferson Blvd
Fort Wayne, IN 46804 - Phone
- (260) 435-7001
- Organisation at this address
- Walgreen Co
Iom Health System Lp
Iom Health System Lp
Iom Health System Lp
Iom Health Systems, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 152
Additional practice sites
- 2401 W University Ave, Muncie, IN
- 1500 E Medical Center Dr, Ann Arbor, MI
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-22
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