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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRANT ROBERT CARLISLE

Active

GRANT ROBERT CARLISLE is a Ophthalmology healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1063075224 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · GRAND RAPIDS, MN

Registration Details

NPI Number
1063075224
Provider Type
Individual
Gender
Male
NPI Issued
Apr 15, 2019 (7.3434930391934 yrs)
Last Updated
Jan 16, 2025
Licenses
MD481576 (PA)
76307 (MN)

Practice Information

Address
1542 GOLF COURSE RD STE 201
GRAND RAPIDS, MN, 557443537
Browse MN providers · Browse ZIP 55744
Phone
2183263433
Fax
2183263435
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
Ophthalmology

Other Ophthalmology Providers in GRAND RAPIDS, MN

Name Credential NPI
DR. JOHN A MORAN M.D. 1700879756
JAMES RAYMOND SPENNINGSBY MD 1669460267
DR. TIMOTHY CHARLES BONNER M.D. 1366498784
DR. M. JERRY ZAPANTA MARIANO M.D. 1376582908
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.