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Physician Compare National (NPI:1730281684)

HEALTHCARE PROVIDER: ROBIN GRENDAHL MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1730281684
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8123293446
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20111214000528
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GRENDAHL
Individual professional last name
Provider First Name ROBIN
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1991
Individual professional's medical school graduation year
Primary Specialty OPHTHALMOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name ALASKA CHILDRENS EYE AND STRABISMUS LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 8527299056
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 3
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 3500 LATOUCHE ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 280
Group Practice or individual's line 2 address
City ANCHORAGE
Group Practice or individual's city
State AK
Group Practice or individual's state
Zip Code 995084261
Group Practice or individual's zip code (9 digits when available)
Phone Number 9075611917
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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