Most Relevant Information
Provider Data
| NPI Number: | 1003546680 |
| Provider Name: | MAKENZIE GRANT MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 9333 |
Most Important Dates
| Enumeration Date: | 06/15/2022 |
| Last Updated: | 06/15/2022 |
Provider Practice Location
983040 NEBRASKA MEDICAL CTR
OMAHA
NE
681983040
Practice Location Phone/Fax
| Phone: | 4025598501 |
| Fax: |
Provider Mailing Location
983040 NEBRASKA MEDICAL CTR
OMAHA
NE
681983040
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Pediatrics EMR