Individual
ERICK E JIMENEZ GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125067574
IL
208000000X
Pediatrics Physician
Primary
6477-851
WI
Other
Enumeration date
06/22/2015
Last updated
07/26/2022
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