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Individual

RICHARD J GRANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Mailing address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
(425) 261-1515

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60219907
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400033100
MN
Enumeration date
06/05/2006
Last updated
04/07/2021
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