Individual
DR. JOHN MICHAEL GRANGER
Active
Individual
DR. JOHN MICHAEL GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD436668
PA
208M00000X
Hospitalist Physician
C10008084
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082109
MEDICARE PTAN/GROUP ID NUMBER
PA
05
—
102039150
—
PA
01
—
P00340818
MEDICARE RAILROAD
MD
Enumeration date
08/09/2006
Last updated
06/28/2011
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