Meredith Rose Granholm, IDMT
NPI #1750515342 in Fairchild Afb, Washington
Provider Information
- NPI Number
- 1750515342
- Entity Type
- Individual
- Name
- Meredith Rose Granholm, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- May 11, 2009
- Last Updated
- May 11, 2009
Practice Location
- Address
- 701 HOSPITAL LOOP
- Address 2
- 92 AMDS/SGPE
- City
- Fairchild Afb
- State
- Washington
- ZIP Code
- 99011-8704
- Phone
- (509) 247-5755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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