Individual
DR. GRANT HARRISON VANNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 274-3889
Mailing address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 274-3889
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01097122A
IN
208000000X
Pediatrics Physician
32622
MN
208000000X
Pediatrics Physician
74726
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
06/25/2025
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