Individual
DR. SHARRON PROBERT GRANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7151 MARSH RD STE 150, INDIANAPOLIS, IN 46278-1631
(317) 293-4113
(317) 290-2542
Mailing address
7151 MARSH RD STE 150, INDIANAPOLIS, IN 46278-1631
(317) 293-4113
(317) 290-2542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054775A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203352230
—
IN
Enumeration date
05/04/2006
Last updated
04/18/2024
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