Organization
NILES ORTHOPEDICS, P.C.
Active
Organization
NILES ORTHOPEDICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL GRANNELL D.O. (PRESIDENT)
(269) 684-3028
Entity
Organization
Contact information
Practice address
6 LONGMEADOW VILLAGE DR, SUITE 1, NILES, MI 49120-7810
(269) 684-3028
(268) 684-5291
Mailing address
6 LONGMEADOW VILLAGE DR, SUITE 1, NILES, MI 49120-7810
(269) 684-3028
(268) 684-5291
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101007545
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1575040
—
MI
Enumeration date
10/10/2007
Last updated
10/10/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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