Organization
JANET GRANGE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET J GRANGE MD (PRESIDENT)
(402) 934-9323
Entity
Organization
Contact information
Practice address
401 E GOLD COAST RD, SUITE 329, PAPILLION, NE 68046-4194
(402) 934-9323
(402) 934-9471
Mailing address
401 E GOLD COAST RD, SUITE 329, PAPILLION, NE 68046-4194
(402) 934-9323
(402) 934-9471
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19630
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-81009
UNITED HEALTH CARE #
NE
05
—
2224212
—
IA
01
—
34173
BCBS OF NEBRASKA #
NE
Enumeration date
01/21/2008
Last updated
04/20/2008
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