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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649939109

Madison L Grinnell, MD is a Student in an Organized Health Care Education/Training Program in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Lauritzen Outpatient Center 4014 Leavenworth St
Omaha, NE 68105
Phone: (800) 922-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 9334 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649939109
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 13, 2021
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

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