DR. Michael J. Granum, M.D.

NPI #1952367039 in Casper, Wyoming

Provider Information

NPI Number: 1952367039
Entity Type: Individual
Name: DR. Michael J. Granum, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Apr 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 940 E 3RD ST
Address 2: #205
City: Casper
State: Wyoming
ZIP Code: 82601-3237
Phone: (307) 577-4260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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