GRANT ELLIOT MACKINNON

FORT WAYNE, IN
NPI1720666795
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301509433)
Enumeration Date2021-03-31
Last Update Date2026-07-22
Business Address
GRANT ELLIOT MACKINNON MD
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4160
Phone number: 260-435-7001
Mailing Address
GRANT ELLIOT MACKINNON MD
7221 ENGLE RD STE 220
FORT WAYNE, IN 46804-2233
Phone number: 260-702-8229
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