Individual
TIMOTHY P GRANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1523
(614) 754-5500
(614) 754-5501
Mailing address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1523
(614) 754-5500
(614) 754-5501
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3775
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.14096-NA
OH
Other
Enumeration date
10/21/2008
Last updated
03/20/2024
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