NPI 1689960171
Nathan Lee Granneman, MD
Practice location
- Address
- 401 N Keene St, Columbia, MO 65201-6625
- Phone
- (573) 876-1600
- Fax
- (573) 876-1606
Registered specialties (2)
Occupational Medicine Physician
Primary
Sports Medicine (Family Medicine) Physician
Registry record
- NPI
- 1689960171
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jun 2011
- Record last updated
- 8 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.