Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EGBERT FITZSTEPHEN GRINAGE JR., MD
Active Sole ProprietorDR. EGBERT FITZSTEPHEN GRINAGE JR., MD is a Pediatrics healthcare provider located in WORTHINGTON, Minnesota. NPI 1487093969 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · WORTHINGTON, MN
Registration Details
- NPI Number
- 1487093969
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2013 (12.970079540731 yrs)
- Last Updated
- Mar 25, 2022
- Licenses
-
61589 (MN)MD192028 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1680 DIAGONAL RDSANFORD WORTHINGTON CLINICWORTHINGTON, MN, 561871008Browse MN providers · Browse ZIP 56187
- Phone
- 5073723800
- Fax
- 5073723806
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in WORTHINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| KRZYSZTOF PIOTR DYGULSKI | M.D. | 1710901467 |
| MARK F LUDES | DO | 1316032758 |
| LISA K GERDES | MD | 1932293537 |
| BASSEL BARDAN | MD | 1831283456 |
| CHIOMA BLESSING OSEMWEGIE | MD | 1467947119 |
| DR. BARBARA ASARE-AFRIYIE | MD | 1639781172 |
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.