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

MADISON L GRINNELL, MD

Active Sole Proprietor

MADISON L GRINNELL, MD is a Dermatology healthcare provider located in OMAHA, Nebraska. NPI 1649939109 is currently active in the NPPES registry. Verify at CMS.

Dermatology · OMAHA, NE

Registration Details

NPI Number
1649939109
Provider Type
Individual
Gender
Female
NPI Issued
Dec 13, 2021 (4.6909140750316 yrs)
Last Updated
Jun 23, 2023
License
9334 (NE)
Sole Proprietor
Yes

Practice Information

Address
LAURITZEN OUTPATIENT CENTER
4014 LEAVENWORTH ST
OMAHA, NE, 68105
Browse NE providers · Browse ZIP 68105
Phone
8009220000
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology

Other Dermatology Providers in OMAHA, NE

Name Credential NPI
MR. JOHN R LUCKASEN M.D. 1114921525
DR. STEPHEN C PAPENFUSS M.D. 1487658803
JOEL SCHLESSINGER M.D 1720085582
DR. HERSCHEL E STOLLER M.D. 1356324495
VICTORIA VANROY 1336125517
ROBERT J. FONDA M.D. 1568436210
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.