Whalio Doctors

NPI 1013414721

Marc Olav Granrud

Practitioner Hospitalist Physician Coeur D Alene, ID

Practice location

Address
2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051
Phone
(208) 625-6900
Fax
(208) 625-6710

Registered specialties (3)

Hospitalist Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence M-15879 (ID)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 29289 (MN)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 65851 (MN)

Registry record

NPI
1013414721
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Apr 2018
Record last updated
12 Apr 2024

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.