Individual
DR. MARK EDWARD MCGRANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1230 GEORGE E. CHANCE PARKWAY, CASEYVILLE, IL 62232
(618) 345-5437
Mailing address
1230 GEORGE E. CHANCE PARKWAY, CASEYVILLE, IL 62232
(618) 345-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-111323
IL
Other
Enumeration date
09/16/2005
Last updated
08/13/2008
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