Individual
BRIAN D GRANER
Active
Individual
BRIAN D GRANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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