Individual
EDWARD CLAUDE GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
4301 SERGEANT RD STE 109, SIOUX CITY, IA 51106
(712) 293-2222
(712) 293-2491
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(612) 351-1529
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
IA
237700000X
Hearing Instrument Specialist
765
NE
237700000X
Hearing Instrument Specialist
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025747800
—
NE
Enumeration date
10/15/2012
Last updated
11/14/2018
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