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Individual

DAVID C. GRANTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
818 N EMPORIA ST STE 200, WICHITA, KS 67214-3788
(316) 263-0246
(316) 263-9523
Mailing address
551 N HILLSIDE ST STE 201, WICHITA, KS 67214-4923
(316) 263-0296
(316) 263-9523

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-38125
KS

Other

Enumeration date
07/09/2009
Last updated
10/17/2023
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