Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Ave Family Medicine

Organization Family Medicine Physician · NPI 1437842390

Grand Ave Family Medicine is a Family Medicine Physician in Laramie, Wyoming. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3236 E Grand Ave Ste D
Laramie, WY 82070-5100
Phone: (970) 231-3498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1437842390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Jacobs — Owner · (970) 231-3498
NPI enumeratedMay 29, 2023
Last updated in NPPESMay 29, 2023
Certification dateMay 27, 2023
Mailing address3236 E Grand Ave Ste D, Laramie, WY 82070-5100

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