Provider Demographics
NPI:1629289939
Name:GRANDE, ANDREW W (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:W
Last Name:GRANDE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:420 DELAWARE ST. SE, MMC 96
Mailing Address - Street 2:D429 MAYO MEMORIAL BUILDING
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-624-3122
Mailing Address - Fax:
Practice Address - Street 1:310 SMITH AVE N STE 440
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2316
Practice Address - Country:US
Practice Address - Phone:651-241-6550
Practice Address - Fax:651-241-6586
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2025-06-04
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Provider Licenses
StateLicense IDTaxonomies
MN54432207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery