Individual
ANNE SENIOW GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
571 E TURKEYFOOT LAKE RD, SUITE A, AKRON, OH 44319-4122
(330) 896-3033
(330) 896-5692
Mailing address
1587 BOETTLER RD STE 110, UNIONTOWN, OH 44685-7823
(330) 896-3033
(330) 896-5692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35058863
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0768807
—
OH
01
—
080175930
RAILROAD MEDICARE
OH
Enumeration date
09/23/2005
Last updated
02/13/2019
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