MARK E GRANDON

LOUISVILLE, KY
NPI1386683852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: KY  PA155)
Enumeration Date2006-06-06
Last Update Date2016-07-09
Business Address
-- MARK E GRANDON PA-C
3 AUDUBON PLAZA DR SUITE 560
LOUISVILLE, KY 40217-1319
Phone number: 502-636-8004
Mailing Address
-- MARK E GRANDON PA-C
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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