| Mr Nicholas J Grande Jr, PAC | |
|
1227 E Rusholme St, Davenport, IA 52803-2459 | |
| (563) 421-1000 | |
| Not Available |
| Full Name | Mr Nicholas J Grande Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1227 E Rusholme St, Davenport, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316085756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas J Grande Jr, PAC 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: () - | Mr Nicholas J Grande Jr, PAC 1227 E Rusholme St, Davenport, IA 52803-2459 Ph: (563) 421-1000 |
Kelsey Israelson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827 | |
Miss Taylor Evelyn Timpe, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827 | |
Caitlin J Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1230 E Rusholme St, Suite 150, Davenport, IA 52803 Phone: 563-421-3990 Fax: 563-421-3999 | |
Tiffany Jo Schick, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5886 | |
Madeline Rose Mackinac, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827 | |
Grace Elizabeth Valen Gatrost, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827 | |
Charles Grant Dennehey, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 |