NPI 1063694750

Marvin John Grendahl MD a Professional Corp.

Organisation Ophthalmology Physician Anchorage, AK

Practice location

Address: 3500 Latouche St STE 280, Anchorage, AK 99508-4261
Phone: (907) 561-1917
Fax: (907) 563-5373

Authorised official

Name: Gail Leingang
Title: Office Admin.
Phone: (907) 561-1917

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD1417 (AK)

Other Ophthalmology providers in Alaska →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD3686 (AK)

Registry record

NPI: 1063694750
Entity type: Organization
NPI issued: 4 Dec 2007
Record last updated: 22 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.