Edith Grannum MD PC

NPI #1104003235 in Rochester, New York

Provider Information

NPI Number: 1104003235
Entity Type: Organization
Organization Name: Edith Grannum MD PC
Primary Specialty: Family Medicine
Enumeration Date: Jan 31, 2008
Last Updated: Mar 19, 2008

Practice Location

Address: 1815 S CLINTON AVE
City: Rochester
State: New York
ZIP Code: 14618-5720
Phone: (585) 233-1366

Authorized Official

Name: DR. EDITH GWENDOLINE GRANNUM, MD
Title: MEDICAL DIRECTOR
Phone: (585) 233-1366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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