JACQUELYN ALBERTA GRANQUIST PA-C
NPI 1780760744
Physician Assistant - Surgical in Iron Mountain, MI
About Jacquelyn Alberta Granquist Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN ALBERTA GRANQUIST PA-C (NPI 1780760744) is an individual surgical provider in Iron Mountain, Michigan, licensed in Michigan (5601004834) and active in the NPI registry since October 2006.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRON MOUNTAIN, MI 49801
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacquelyn Granquist's NPI number?
The NPI number for Jacquelyn Granquist is 1780760744. It was assigned to this individual provider in the NPPES registry on October 31, 2006.
Where is Jacquelyn Granquist located?
Jacquelyn Granquist practices at 325 E H St, Iron Mountain, MI 49801. The listed phone number is (906) 774-3300.
What is Jacquelyn Granquist's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
When was this NPI record last updated?
The NPPES record for Jacquelyn Granquist was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacquelyn Alberta Granquist, PA-C · NPI 1780760744
Surgical physician in Iron Mountain, Michigan. Individual provider, active in the CMS NPPES registry since October 31, 2006.
## Identity
- **NPI:** 1780760744 (Entity type: Individual)
- **Enumerated:** October 31, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 5601004834 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 325 E H ST, Iron Mountain, MI 49801-4760
- **Phone:** (906) 774-3300
## Record status
- **NPPES last updated:** April 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1780760744) · Data from the CMS NPPES public registry.