Michael J. Granum, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

3007A Issued in WY

Practice address

940 E 3Rd St
#205
Casper, WY 82601-3237

Phone

(307) 577-4260

Fax

(307) 577-4263

NPI assigned

Apr 26, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Casper Children's Center, LLC

  • Pediatrics Physician
  • Casper, WY
  • NPI 1114333127
  NPD (past)
• Wyocity Medical Group LLC

  • Primary Care Clinic/Center
  • Casper, WY
  • NPI 1033800321
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952367039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST",
            "address_2": "#205",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013237",
            "telephone_number": "307-577-4260",
            "fax_number": "307-577-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST",
            "address_2": "#205",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013237",
            "telephone_number": "307-577-4260",
            "fax_number": "307-577-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANUM",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "3007A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agatha Christie Graham
• Rachel Graham, PA-C
• Ruthanne Grajeda
• Grand Teton Healing Center Inc
• Diana M Graney, RD
• Constance Blaine Grau, DO
• Venese Ann Graunke, MSN, FNP-C
• Desiree Kandra Gray-Mefferd
• Jenadene Gray, MSW
• Larissa Faith Gray, PA-C

• Pediatrics Physician in Casper, WY
• Providers in Casper, WY by specialty
• Pediatrics Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.