Grant Robert Carlisle
NPI #1063075224 in Grand Rapids, Minnesota
Provider Information
- NPI Number
- 1063075224
- Entity Type
- Individual
- Name
- Grant Robert Carlisle
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Apr 15, 2019
- Last Updated
- Jan 16, 2025
Practice Location
- Address
- 1542 GOLF COURSE RD STE 201
- City
- Grand Rapids
- State
- Minnesota
- ZIP Code
- 55744-3537
- Phone
- (218) 326-3433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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Organizations
| Provider Name | |
|---|---|
| John L Bonner Eye Clinic Ltd |
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