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NPI 1245869858

IndividualActive

Grant Edland

NPI 1245869858 · Allergy Physician · Watford City, ND

Provider details

NPI number: 1245869858
Entity type: Individual
Primary specialty: Allergy PhysicianAllopathic & Osteopathic Physicians
Sex: Male
Sole proprietor: Yes
License: 036.165111 (IL)

Practice location

709 4th Ave Ne

Watford City, ND 58854-7628

Phone: (701) 842-3000

Fax: (701) 842-6248

More ND providers

Mailing address

709 4th Ave Ne

Watford City, ND 58854-7628

Registry dates

Enumerated: 2020-04-06
Last updated: 2026-04-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Grant Edland — NPI 1245869858, Watford City, ND | NPI Central