Individual
DON THOMAS GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-4000
Mailing address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35062092G
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
40441
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0843458
—
OH
Enumeration date
11/02/2006
Last updated
06/24/2022
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