Individual
DR. JANET JOAN GRANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
208600000X
Surgery Physician
33814
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-81009
UNITED HEALTH CARE #
NE
05
—
2224212
—
IA
01
—
34173
BCBS OF NEBRASKA #
NE
05
—
47083782500
—
NE
Enumeration date
02/26/2007
Last updated
07/09/2007
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