Nathan Lee Granneman M.D.

  • NPI 1689960171
According to our database, the NPI number for Nathan Lee Granneman M.D. is 1689960171 and activated since 12 years ago. Nathan Lee Granneman M.D. is an individual provider who specializes in Sports Medicine, and the primary practice location is 200 Corporate Lake Dr, Columbia, MO 65203. You can also contact Nathan Lee Granneman M.D. via telephone number is (573) 814-1170. Provider NPI information was last updated on 09/24/2020.

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Overview of Nathan Lee Granneman M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/22/2011
  • Last updated: 09/24/2020

Primary Scrop of Practice

  • Taxonomy Code: 207QS0010X
  • Specialty: Sports Medicine
  • License Number: 2012023532
  • License State: MO

Provider Mailing Address

  • Address: 18019 Thornbrook Ct
    Boonville, MO 65233
  • Phone: 660-265-6441
  • Fax:

Provider Practice Location

  • Address: 200 Corporate Lake Dr
    Columbia, MO 65203
  • Phone: 573-814-1170
  • Fax:

Scope of Practice

  • Taxonomy Code: 207QS0010X
  • Specialty: Sports Medicine
  • License Number: 2012023532
  • License State: MO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1689960171
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MO
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Nathan Lee Granneman M.D.?
  • A: The npi number for Nathan Lee Granneman M.D. is 1689960171.
  • Q: What are Nathan Lee Granneman M.D.'s specialties?
  • A: Nathan Lee Granneman M.D.'s specialties are Sports Medicine and different specialities.
  • Q: What is the medical license for Nathan Lee Granneman M.D.?
  • A: The medical license number for Nathan Lee Granneman M.D. is 2012023532 and issued in MO in USA.
  • Q: Where is Nathan Lee Granneman M.D. practice location?
  • A: Nathan Lee Granneman M.D. is practicing at 200 Corporate Lake Dr, Columbia, MO 65203.
  • Q: How to contact Nathan Lee Granneman M.D.?
  • A: You can contact Nathan Lee Granneman M.D. via 573-814-1170.