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Individual

BRIAN D GRANER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
550 UNIVERSITY BLVD, INDIANA UNIVERSITY HOSPITAL, ROOM 0641, INDIANAPOLIS, IN 46202-5149
(317) 944-1816
(317) 948-2803
Mailing address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-3746
(317) 570-6432

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
63175-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
01077071A
IN
2085R0202X
Diagnostic Radiology Physician
4301097150
MI

Other

Enumeration date
07/12/2010
Last updated
12/29/2020
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