Individual
NATHAN LEE GRANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 N KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1600
(573) 876-1606
Mailing address
401 N KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1600
(573) 876-1606
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
2012023532
MO
2083X0100X
Occupational Medicine Physician
Primary
2012023532
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008322
—
MO
Enumeration date
06/22/2011
Last updated
01/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us