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

Carly Marie Grant

Individual provider Dermatology Physician · NPI 1275237208

Carly Marie Grant is a Dermatology Physician in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023

Practice location Address checks out

8170 33rd Ave S
Bloomington, MN 55425-4516
Phone: (952) 883-6000
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35680 (MN)

Record details

NPI number1275237208
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

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