Healthcare Provider Details

I. General information

NPI: 1265345011
Provider Name (Legal Business Name): TODD MICHAEL GRATTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 E 16TH ST APT 9B
GRAFTON ND
58237-2050
US

IV. Provider business mailing address

32 E 16TH ST APT 9B
GRAFTON ND
58237-2050
US

V. Phone/Fax

Practice location:
  • Phone: 701-230-5896
  • Fax:
Mailing address:
  • Phone: 701-270-2951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: