Individual provider · Type 1 NPI

Grant Laural Nicoll

Driver · Sandstone, MN

NPI number 1902660095 Active

Practice location

606 Highway 123 W
Sandstone, MN 55072-5060

Call (320) 204-5535 Map

Fax (320) 216-7638

Mailing address

PO Box 26
Sandstone, MN 55072-0026

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XC653006551014 (MN)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1902660095

Grant Laural Nicoll's National Provider Identifier is 1902660095, issued on Feb 8, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Sandstone, MN. The record was last updated on Feb 8, 2024.