Lynn Makela Grund
Emergency Physician
3401 Ludington St
Escanaba
, Michigan 49829
Lynn Makela Grund
Emergency Physician
3401 Ludington St
Escanaba
, Michigan 49829
(480) 380-6950
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Lynn Makela Grund
- 3650 E Mills Rd
- Pickford, MI
- Zip : 49774-9231
- Phone : (480) 380-6950
Second Address
- Lynn Makela Grund
- 3401 Ludington St
- Escanaba, MI
- Zip : 49829
- Phone : (906) 786-3311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 4301079343 | MI |
National Provider Identifier
| NPI | 1003820200 |
|---|---|
| Provider Name | Lynn Makela Grund |
| First Address | Pickford, MI 49774-9231 |
| Second Address | Escanaba, MI 49829 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 20/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003820200 | (05) | MI |
| 4387722 | (05) | MI |
| 930117023 | MEDICARE - MULT - RAILROAD (01) | |
| G97269 | (02) | MI |
| LG079343 | BLUE SHIELD (01) | MI |
| P00365745 | MEDICARE - MULT - RAILROAD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.