Individual provider · Type 1 NPI
Madison Grausam
Student in an Organized Health Care Education/Training Program · Brainerd, MN
NPI number
1174995724
Active
Practice location
1721 Graydon Ave
Brainerd, MN 56401-4323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Brainerd
About NPI 1174995724
Madison Grausam's National Provider Identifier is 1174995724, issued on Oct 22, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brainerd, MN. The record was last updated on Oct 22, 2015.