Whalio Doctors

NPI 1689960171

Nathan Lee Granneman, MD

Practitioner Occupational Medicine Physician Columbia, MO

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
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 2012023532 (MO)
Sports Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 2012023532 (MO)

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.