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
ZIP Code
55744-3537
Phone
(218) 326-3433

Specialties & Taxonomy Codes

Specialty
Ophthalmology

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