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1215996392
LISA M GRANT
MADISON, WI
NPI
1215996392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 44366)
Enumeration Date
2006-03-20
Last Update Date
2021-01-05
Business Address
LISA M GRANT DO
7102 MINERAL POINT RD
MADISON, WI 53717
Phone number: 608-828-7611
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Mailing Address
LISA M GRANT DO
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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