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Individual
DR. MICHAEL LEE GRANBERRY
Active
Individual
DR. MICHAEL LEE GRANBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14921
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000026732
—
AL
01
—
200024215
RAILROAD MEDICARE
—
Enumeration date
07/28/2005
Last updated
02/23/2024
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