| Alfred Granson Jr Md Llc | |
|
70 Madison Rd Mansfield OH 44905-2831 | |
| (419) 589-9700 | |
| (419) 589-2731 |
| Full Name | Alfred Granson Jr Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 70 Madison Rd, Mansfield, Ohio |
| Authorized Official Name and Position | Alfred Eugene Gretzinger (DOCTOR) |
| Authorized Official Contact | 4195899700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfred Granson Jr Md Llc 70 Madison Rd Mansfield OH 44905-2831 Ph: (419) 589-9700 | Alfred Granson Jr Md Llc 70 Madison Rd Mansfield OH 44905-2831 Ph: (419) 589-9700 |
| NPI Number | 1598088528 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598088528 | NPI | - | NPPES |
| 2136683 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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