Jody L Grande


Address: 4205 Lancaster Lane N, Suite 111, Plymouth, MN 55441-1702

Jody L Grande (NPI# 1801894209, PAC ID# 3274520994) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1801894209
PAC ID by PECOS 3274520994
Professional Enrollment ID I20040427000520
Full Name Jody L Grande
Address 4205 Lancaster Lane N
Suite 111
Plymouth
MN 55441-1702
Gender F
Credential CSW
Graduation Year 1995
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
4205 Lancaster Lane N, Suite 111, Plymouth, MN 55441-1702

Organization Information

Office Location

Street Address 4205 LANCASTER LANE N
SUITE 111
City PLYMOUTH
State MN
Zip 55441-1702

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Katherine G Katzung Emergency Medicine Allina Health System 2855 Campus Dr, Plymouth, MN 55441-2649
Daniel T Olaughlin Emergency Medicine Allina Health System 2855 Campus Dr, Plymouth, MN 55441-2649
Ashley A Anderson Emergency Medicine Allina Health System 2855 Campus Dr, Plymouth, MN 55441-2649
Nailim Maria Milian Obstetrics/gynecology Allina Health System 2855 Campus Dr, Plymouth, MN 55441-2649
Daniela T Ouzounova Internal Medicine Allina Health System 2855 Campus Dr, Suite 400, Plymouth, MN 55441-2659
David S Johnson Family Medicine Allina Health System 2855 Campus Dr, Suite 400, Plymouth, MN 55441-2659
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Competitor

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City PLYMOUTH
Zip Code 55441
Specialty CLINICAL SOCIAL WORKER
City + Specialty PLYMOUTH + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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