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Contact Information

GREGORY A GRANRUD, MD
225 SMITH AVE N
SUITE 500
SAINT PAUL, MN55102-2534
 Phone: 651-292-0616
 Fax: 651-726-7256
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GREGORY A GRANRUD · (Male)

NPI Number 1366416893
Status Active
Credentials MD
Entity Individual
Enumeration date 02/13/2006
Last updated 06/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 24998
  • MN Medicaid 894270600
  • WI Medicaid 30578300
Hospital affiliation(s)
  • HEALTHEAST ST JOHN'S HOSPITAL - (Acute Care)
    1575 BEAM AVENUE
    MAPLEWOOD, MN 55109
  • HEALTHEAST WOODWINDS HOSPITAL - (Acute Care)
    1925 WOODWINDS DRIVE
    WOODBURY, MN 55125
  • ST JOSEPH'S HOSPITAL - (Acute Care)
    45 WEST 10TH STREET
    SAINT PAUL, MN 55102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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