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

Marvin John Grendahl MD a Professional Corp

Organization Ophthalmology Physician · NPI 1063694750

Marvin John Grendahl MD a Professional Corp is an Ophthalmology Physician in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2007.

Licensed in
AK
In the registry since
2007
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3500 Latouche St Ste 280
Anchorage, AK 99508-4261
Phone: (907) 561-1917
Fax: (907) 563-5373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD1417 (AK)
Ophthalmology Physician Taxonomy 207W00000X · Licence MD3686 (AK)

Record details

NPI number1063694750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gail Leingang — Office Admin. · (907) 561-1917
NPI enumeratedDecember 4, 2007
Last updated in NPPESNovember 22, 2011
Mailing address3500 Latouche St Ste 280, Anchorage, AK 99508-4261

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