NPI 1003876814

Stephanie Grady, PANP

Practitioner Family Medicine Physician Minneapolis, MN

Practice location

Address: 410 Church St SE, Minneapolis, MN 55455-0222
Phone: (612) 625-2612
Mailing address: PO Box 43 Mr 10809, Minneapolis, MN 55440-0043

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 9028 (MN)

Other Family Medicine providers in Minnesota →

Registry record

NPI: 1003876814
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2006
Record last updated: 21 Jul 2022

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.