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Grant Mallory, MD — NPI 1568690477, Eau Claire, WI | NPI Central

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Grant Mallory, MD

NPI 1568690477 · Neurological Surgery Physician · Eau Claire, WI

Provider details

NPI number: 1568690477
Entity type: Individual
Primary specialty: Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 100503 (WI)

Specialties & taxonomies

Neurological Surgery PhysicianPrimary207T00000XLicense 81713 (WI)
Allopathic & Osteopathic Physicians
Neurological Surgery Physician207T00000XLicense 100503 (WI)
Allopathic & Osteopathic Physicians
Neurological Surgery Physician207T00000XLicense 53091 (MN)
Allopathic & Osteopathic Physicians

Practice location

1400 Bellinger St

Eau Claire, WI 54703-5222

Phone: (715) 838-5222

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

Po Box 860912

Minneapolis, MN 55486-0912

Additional practice locations (2)

200 1st St Sw
Rochester, MN 55905-0002
Phone: (303) 803-6953
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 916-3482

Registry dates

Enumerated: 2009-06-30
Last updated: 2025-06-03
Certified: 2025-06-03

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