DR. Shaun J Grannis, M.D.

NPI #1265439566 in Indianapolis, Indiana

Provider Information

NPI Number: 1265439566
Entity Type: Individual
Name: DR. Shaun J Grannis, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 30, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1520 N SENATE AVE
City: Indianapolis
State: Indiana
ZIP Code: 46202-2213
Phone: (317) 962-8188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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