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Dr. Alfred Granson JR., MD,LLC
Specialist in Mansfield, Ohio
NPI 1124128491

Alfred Granson JR. is a Specialist based in Mansfield, OH. Alfred Granson JR. practices in Mansfield, OH and has the professional credentials of MD,LLC. The NPI Number for Alfred Granson JR. is 1124128491 and holds a License No. 35072595G (Ohio).

The current practice location address for Alfred Granson JR. is 70 Madison Rd, Mansfield, OH and can be reached out via phone at 419-589-9700 and via fax at 419-589-2731.

Location: 70 Madison Rd, Mansfield, OH, 44905-2831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124128491
Provider Name
Alfred Granson JR.
Credential
MD,LLC
Provider Entity Type
Individual
Gender
Male
Address
70 Madison Rd, Mansfield, OH, 44905-2831
Phone Number
419-589-9700
Fax Number
419-589-2731
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2136683 05 OH
P00818354 01 OH RAILROAD MEDICARE GROUP
000000142322 01 OH ANTHEM BC/BS OF OHIO
DQ1487 01 OH RAILROAD MEDICARE INDIVIDUAL
9387391 01 OH MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
70 Madison Rd
City
Mansfield
State
Ohio
Zip
44905-2831
Phone Number
419-589-9700
Fax Number
419-589-2731
person
Provider Business Mailing Address Details
Address
70 Madison Rd
City
Mansfield
State
Ohio
Zip
44905-2831
Phone Number
419-589-9700
Fax Number
419-589-2731
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
35072595G (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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