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

Grant W Mallory, MD

Individual provider Neurological Surgery Physician · NPI 1568690477

Grant W Mallory, MD is a Neurosurgery in Eau Claire, Wisconsin. Graduated from Georgetown University School of Medicine in 2009, 17 years ago. Practices with Mayo Clinic Health System-Northwest Wisconsin Region Inc, a 799-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
17
Trained at
Georgetown University School of Medicine
Licensed in
MN, WI
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Bellinger St
Eau Claire, WI 54703-5222
Phone: (715) 838-5222
Show map & directions

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

Additional practice locations (2)

  • 200 1st St Sw, Rochester, MN 55905-0002 — (303) 803-6953
  • 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 — (210) 916-3482

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 81713 (WI)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 100503 (WI)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 53091 (MN)

Record details

NPI number1568690477
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2009
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Mayo Clinic Health System-Northwest Wisconsin Region Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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