Individual provider · Type 1 NPI

Grant W. Mallory, MD

Neurological Surgery Physician · Eau Claire, WI

NPI number 1568690477 Active

Practice location

1400 Bellinger St
Eau Claire, WI 54703-5222

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Other practice locations

  • 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 · (210) 916-3482
  • 200 1st St SW, Rochester, MN 55905-0002 · (303) 803-6953

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000X100503 (WI)
Neurological Surgery Physician 207T00000X53091 (MN)
Neurological Surgery Physician Primary 207T00000X81713 (WI)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1568690477

Grant W. Mallory, MD's National Provider Identifier is 1568690477, issued on Jun 30, 2009. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Eau Claire, WI. The record was last updated on Jun 3, 2025.