Individual
NEIGATHA ELEASE GRANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8550 W GRAND RIVER AVE, SUITE 300, BRIGHTON, MI 48116-4352
(810) 220-3700
(810) 220-1321
Mailing address
6832 CHADWICK DR, CANTON, MI 48187-1634
(734) 459-1219
(734) 459-1219
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301049607
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2981150
—
MI
Enumeration date
10/20/2006
Last updated
07/09/2007
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