Individual
WILLIAM J GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 446-4695
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01033203
IN
207L00000X
Anesthesiology Physician
Primary
01033203A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106810
—
IN
Enumeration date
08/25/2005
Last updated
10/17/2022
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