Organization
WILFREDO GRANA, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFREDO GRANA M.D. (OWNER)
(256) 238-8109
Entity
Organization
Contact information
Practice address
230 E 10TH ST STE 206, ANNISTON, AL 36207-5764
(256) 238-8109
(256) 238-8183
Mailing address
230 E 10TH ST STE 206, ANNISTON, AL 36207-5764
(256) 238-8109
(256) 238-8183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11275
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427120054
WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION
AL
05
—
1427120054
—
AL
01
—
51003605
BLUE CROSS AND BLUE SHIELD OF ALABAMA
AL
01
—
DE5655
RAILROAD MEDICARE
AL
01
—
P00301079
RAILROAD MEDICARE
AL
Enumeration date
01/26/2007
Last updated
11/12/2009
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