Alfred Granson Jr MD LLC
Organization Active NPI Internal Medicine Physician · Mansfield, OH
NPI 1598088528 · NPPES record last updated Mar 4, 2010
Key facts
- NPI
- 1598088528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ALFRED GRANSON JR MD LLC
- Practice address
- 70 Madison Rd
Mansfield, OH 44905-2831 - Phone
- (419) 589-9700
- Fax
- (419) 589-2731
- NPI assigned
- Mar 4, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Alfred Eugene Gretzinger, MD
- Title
- Doctor
- Phone
- (419) 589-9700
Practitioners 3
-
Justin James Arambasick, M.D.
-
Angela Lynn Granson, CRNP
-
Lisa Jennifer King, CRNP
National Provider Directory
Locations
70 Madison Rd
Mansfield, OH 44905
Phone (419) 589-9700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
70 Madison Rd
Mansfield, OH 44905-2831
Mailing address
70 Madison Rd
Mansfield, OH 44905-2831
Phone (419) 589-9700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136683 | Medicaid | OH |
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- Madison Taylor Alfrey
- Ali A. Alhimiri
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All providers in Mansfield, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.