Dr GRANT NISKANEN MD is a male medical professional, specializing in Family Medicine. He graduated in 1992 from George Washington University School Of Medicine.
SKY LAKES MEDICAL CENTER INC
2865 DAGGETT AVE
SKY LAKES MEDICAL CENTER
KLAMATH FALLS
OR
976011106
Tel: 5412746221
| Npi | 1801898358 |
| Pac Id | 2668463738 |
| Professional Enrollment Id | I20080212000273 |
| Last Name | NISKANEN |
| First Name | GRANT |
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| Gender | M |
| Credential | MD |
| Medical School Name | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | SKY LAKES MEDICAL CENTER INC |
| Group Practice Pac Id | 1052204096 |
| Number Of Group Practice Members | 99 |
| Line 1 Street Address | 2865 DAGGETT AVE |
| Line 2 Street Address | SKY LAKES MEDICAL CENTER |
| Marker Of Address Line 2 Suppression | |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 976011106 |
| Phone Number | 5412746221 |
| Hospital Affiliation Ccn 1 | 380050 |
| Hospital Affiliation Lbn 1 | SKY LAKES MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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