Provider Demographics
NPI:1629091988
Name:HUTCHINS, GRANT FARLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:GRANT
Middle Name:FARLEY
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8901 INDIAN HILLS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4032
Mailing Address - Country:US
Mailing Address - Phone:402-397-7057
Mailing Address - Fax:402-505-4738
Practice Address - Street 1:8901 INDIAN HILLS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4032
Practice Address - Country:US
Practice Address - Phone:402-397-7057
Practice Address - Fax:402-505-4738
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2016-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLMFC1593207RG0100X
NE20778207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE098021036Medicare PIN