Individual
STACY ANN GRANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1360 N DODGE ST, IOWA CITY, IA 52245-6104
(319) 351-1448
(319) 351-9367
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 351-1448
(319) 351-9367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31931
IA
Other
Enumeration date
07/15/2006
Last updated
11/02/2022
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