| Medaisle Express, LLC | |
|
6180 Mae Anne Ave Suite 2 Reno NV 89523-4700 | |
| (775) 284-5556 | |
| Not Available |
| Full Name | Medaisle Express, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 6180 Mae Anne Ave, Reno, Nevada |
| Authorized Official Name and Position | Wesley Granstrom (OWNER) |
| Authorized Official Contact | 7752845556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medaisle Express, LLC 6180 Mae Anne Ave Suite 2 Reno NV 89523-4700 Ph: (775) 284-5556 | Medaisle Express, LLC 6180 Mae Anne Ave Suite 2 Reno NV 89523-4700 Ph: (775) 284-5556 |
| NPI Number | 1194902916 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194902916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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