Granger, David L.

Granger, David L. is an individual health care provider with primary practice located at 4100 Park Forest Dr Suite 210, Traverse City MI 49684-7331. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Granger, David L. can be contacted via phone (231) 935-5770.

Contact Information

Primary practice address
4100 Park Forest Dr Suite 210 Traverse City MI 49684-7331
Phone: (231) 935-5770
Fax: (231) 935-5878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704120471 Michigan

Profile Details

NPI number 1982698734
LBN Legal business name Granger, David L.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated May 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982698734 NPPES
Michigan MEDICAID 4297536
Michigan Other 430B810310
Michigan Other 430049568

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