National Provider Identifier
Grant K Eiselen, M.D.
Grant K Eiselen, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Rochester, NY and a listed phone number of (585) 261-3404.
Profile Overview
- NPI
- 1194766949
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- June 10, 2006
- Last Updated
- October 17, 2007
Practice Location
- 27 Huntington Brk
- Rochester, NY 14625-1810
Phone: (585) 261-3404
Mailing Address
- PO Box 25471
- Rochester, NY 14625-0471
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1194766949
- Entity Type
- Individual
- Last Name
- Eiselen
- First Name
- Grant
- Middle Name
- K
- Credential
- M.D.
- Mailing Street Address
- PO Box 25471
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-0471
- Mailing Country
- US
- Practice Street Address
- 27 Huntington Brk
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-1810
- Practice Country
- US
- Practice Phone
- (585) 261-3404
- Practice Fax
- (585) 261-3404
- Enumeration Date
- June 10, 2006
- Last Updated
- October 17, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- MD6778 (AK)