Dr. David W Grande , MD
Specialist • Mankato, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Grande has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. David Grande, MD was a registered Specialist practicing in Mankato, MN. Throughout an active medical career spanning 11 years, Dr. Grande provided care at the practice location at 1630 ADAMS ST until profile deactivation on 2017-04-10.
Practice Location & Contact Primary Location
1630 Adams St
Mankato, MN 560016795
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Mankato, MN
Practicing in Mankato, MN (877 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 10, 2017
NPI status registered as active in NPPES database
Registered at 1630 ADAMS ST, MANKATO, MN 560016795 (Tel: 5073453551)
Registered at 1630 ADAMS ST, MANKATO, MN 560014801 (Tel: 5073453551)
Recorded as DAVID GRANDE, M.D.
Specialist (License #16322 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1630 Adams St
Mankato, MN 560014801
Phone: 5073453551
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