Jacquelyn Alberta Granquist, PA-C
NPI #1780760744 in Iron Mountain, Michigan
Provider Information
- NPI Number
- 1780760744
- Entity Type
- Individual
- Name
- Jacquelyn Alberta Granquist, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Apr 18, 2019
Practice Location
- Address
- 325 E H ST
- City
- Iron Mountain
- State
- Michigan
- ZIP Code
- 49801-4760
- Phone
- (906) 774-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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