Individual
DR. DANA HUTCHISON GRANBERG-NILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9151 NE 81ST TER, SUITE 105, KANSAS CITY, MO 64158-1294
(816) 994-8787
(816) 994-8788
Mailing address
9151 NE 81ST TER, SUITE 105, KANSAS CITY, MO 64158-1294
(816) 994-8787
(816) 994-8788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
115861
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115861
STATE LICENSE NUMBER
MO
Enumeration date
04/14/2006
Last updated
10/06/2021
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