GRANDGEN, LLC is a specialist in Omaha, NE. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GRANDGEN, LLC NPI is 1326351651. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Devenu Medical Rejuvenation Center.
The provider's business location address is:
9802 NICHOLAS ST
SUITE 305
OMAHA, NE
ZIP 68114-167
Phone: (402) 397-2300
Fax: (402) 397-2303
The provider's authorized official is Jon Fulcher .
The authorized official title is President and has the following contact phone number (402) 445-6173.
The enumeration date for this NPI number is 7/15/2010 and was last updated on 7/15/2010.