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

GRANT WILLIAM MATHISON

Active

GRANT WILLIAM MATHISON is a Orthopaedic Surgery healthcare provider located in SHAKOPEE, Minnesota. NPI 1629482708 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · SHAKOPEE, MN

Registration Details

NPI Number
1629482708
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2014 (12.201341452173 yrs)
Last Updated
Jul 30, 2020
Licenses
4301105237 (MI)
67362 (MN)

Practice Information

Address
1415 SAINT FRANCIS AVE
SHAKOPEE, MN, 553793374
Browse MN providers · Browse ZIP 55379
Phone
9529937750
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in SHAKOPEE, MN

Name Credential NPI
DR. DARREN F LARSON M.D. 1760467856
DR. DAVID CONRAD CARLSON M.D. 1134179419
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.