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

MARVIN JOHN GRENDAHL MD A PROFESSIONAL CORP.

Active Organization

MARVIN JOHN GRENDAHL MD A PROFESSIONAL CORP. is a Ophthalmology organization located in ANCHORAGE, Alaska. NPI 1063694750 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · ANCHORAGE, AK

Registration Details

NPI Number
1063694750
Provider Type
Organization
NPI Issued
Dec 4, 2007 (18.674564441645 yrs)
Last Updated
Nov 22, 2011
Licenses
MD3686 (AK)
MD1417 (AK)

Practice Information

Address
3500 LATOUCHE ST STE 280
ANCHORAGE, AK, 995084261
Browse AK providers · Browse ZIP 99508
Phone
9075611917
Fax
9075635373
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
Ophthalmology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.