Individual
AUSTIN T GRANATOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3250 PLAZA DR, SOUTH SIOUX CITY, NE 68776-3144
(402) 412-4220
(402) 494-1365
Mailing address
200 GOLD CIR STE 120, DAKOTA DUNES, SD 57049-5501
(605) 217-0700
(605) 217-0701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35721
NE
Other
Enumeration date
06/22/2020
Last updated
02/27/2026
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