DR. GRANT ALEXANDER REDSTONE


Address: 1750 105th Avenue Ne, Blaine, MN 55449
Phone: 7637800356

DR. GRANT ALEXANDER REDSTONE (NPI# 1821233164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821233164
Entity Type Individual
Full Name DR. GRANT ALEXANDER REDSTONE
Credential D.C. FIAMA, PC
Practice Address 1750 105th Avenue Ne
Blaine
MN 55449
Mailing Address 1750 105th Avenue Ne
Blaine
MN 55449-4500
Practice Telephone 7637800356
Mailing Telephone 7637800356
Enumeration Date 2008-12-15
Last Update Date 2016-05-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 2774307-1202 UT Chiropractic Providers

Office Location

Street Address 1750 105TH AVENUE NE
City BLAINE
State MN
Zip Code 55449

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033736368 Landon Thomas Case Dentist 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 2020-07-02
1881168441 Ear Institutes, LLC Otolaryngology 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 2019-01-17
1841776242 Kristin Broback Nurse Practitioner 10705 Town Square Dr Ne #100, Blaine, MN 55449 2018-07-18
1043719016 Robin Lynn Broen Registered Nurse 3012 129th Ave Ne, Blaine, MN 55449 2018-02-06
1194197368 Lund Health Professional Corporation Chiropractor 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 2015-10-27
1871989806 Blaine Wp II, LLC Assisted Living Facility 12402 Jamestown Street Ne, Blaine, MN 55449 2015-04-07
1154761633 Jean Budge Marriage & Family Therapist 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 2013-06-28
1295013498 Jeff K Yu Veterinarian 11850 Aberdeen St Ne, Blaine, MN 55449 2011-07-22
1528394707 Julie Ann Eibensteiner Physical Therapist 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 2009-10-23
1871725333 Deborah Kathryn Zongo Nurse Practitioner 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 2009-08-18
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556796 Nicole Frogner Koshiol Chiropractor 11901 Highway 65 Ne, Blaine, MN 55434-3911 2020-10-19
1194197368 Lund Health Professional Corporation Chiropractor 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 2015-10-27
1154715787 Lunzer Chiropractic LLC Chiropractor 1847 129th Ave Ne, Blaine, MN 55449-4970 2015-03-20
1093103764 Christelle Vang Chiropractor 12157 Dunkirk St Ne, Blaine, MN 55449-7502 2015-01-05
1326436064 Alycean Maryrae Bergh Chiropractor 10950 Club West Pkwy Ste 190, Blaine, MN 55449-5862 2015-01-05
1063800704 Ryan William Waddell Chiropractor 10995 Club West Pkwy Ste 400, Blaine, MN 55449-5862 2015-01-05
1023381043 Vaughn Chiropractic Pllc Chiropractor 10904 Baltimore St Ne, Ste 103, Blaine, MN 55449-5061 2012-02-22
1316217144 Robert Lloyd Vaughn IIi Chiropractor 10904 Baltimore St Ne Ste 103, Blaine, MN 55449-5062 2012-01-10
1316244882 Exodus Chiropractic, Pa Chiropractor 10950 Club West Pkwy, Suite 110, Blaine, MN 55449-4679 2011-02-18
1154546901 Daniel James Richter Chiropractor 13060 Central Ave Ne, Suite 100, Blaine, MN 55434-4149 2007-04-16
Find all providers in BLAINE

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City BLAINE
Zip Code 55449

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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