Individual
DR. MICHAEL LEE GRANBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 SPRING HILL AVE FL 3, MOBILE, AL 36604-1410
(251) 435-2663
(251) 435-2663
Mailing address
1720 SPRING HILL AVE FL 3, MOBILE, AL 36604-1410
(251) 435-2663
(251) 435-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14921
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000026732
—
AL
01
—
200024215
RAILROAD MEDICARE
—
Enumeration date
07/28/2005
Last updated
02/23/2024
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