# MICHELLE R. GRANA, DO; PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750837068
- **Authorized official:** DR. MICHELLE R GRANA DO (PRESIDENT)
- **Authorized official phone:** (256) 429-2212

## Contact information

- **Practice address:** 470 PROVIDENCE MAIN ST NW STE 302A, HUNTSVILLE, AL 35806-4843
- **Practice address phone:** (256) 429-2212
- **Practice address fax:** (256) 867-0995
- **Mailing address:** 470 PROVIDENCE MAIN ST NW STE 302A, HUNTSVILLE, AL 35806-4843
- **Mailing address phone:** (256) 429-2212
- **Mailing address fax:** (256) 867-0995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 08/27/2016
- **Last updated:** 12/05/2019