Erin Kathleen Granger in Manitowoc - Pediatrics
Erin Kathleen Granger - NPI 1518997998
Erin Kathleen Granger is a Pediatrics in Manitowoc, Wisconsin. Erin Kathleen Granger practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Erin Kathleen Granger is 1518997998. The last update date is 2007-07-08.
Erin Kathleen Granger's current location address is 2300 Western Ave, Manitowoc, Wisconsin. You can contact this provider via phone number 9203208667 and fax number 9203208616. The mailing address for Erin Kathleen Granger is 2300 Western Ave, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erin Kathleen Granger |
|---|---|
| Address | 2300 Western Ave, Manitowoc, Wisconsin |
| Phone Number | 9203208667 |
| Fax Number | 9203208616 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1518997998 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2300 Western Ave |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542212170 |
| Phone Number | 9203208667 |
| Fax Number | 9203208616 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 2214-026 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40816200 | WI | -- | |
| 719065 | WI | T19 MANAGED HEALTH SERVIC |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Erin Kathleen Granger by the Centers for Medicare & Medicaid Services?
The Erin Kathleen Granger has been issued the NPI (National Provider Identifier) 1518997998, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Erin Kathleen Granger is geographically located?
The Erin Kathleen Granger is physically situated at the following location: 2300 Western Ave, Manitowoc, WI, 542212170.
What is the area of specialization for Erin Kathleen Granger, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Erin Kathleen Granger is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 225Xp0200X.
When did Erin Kathleen Granger receive its 1518997998 assignment?
The Erin Kathleen Granger was assigned its 1518997998 on 2006-07-03, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Erin Kathleen Granger, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Erin Kathleen Granger, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.