IndividualActive
Carly Grant
NPI 1275237208 · Dermatology Physician · Bloomington, MN
Provider details
- NPI number
- 1275237208
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 35680 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
8170 33rd Ave S
Bloomington, MN 55425-4516
Phone: (952) 883-6000
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S
Bloomington, MN 55425-4516
Registry dates
- Enumerated
- 2023-03-27
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.