Miguel Granger, MD

NPI 1265527998 · on the registry since 2006

Practice

Address: 2001 State St
East Saint Louis, IL 62205
Phone: (618) 271-9191
Fax: (618) 271-9617
Organisation at this address: Southern Illinois Healthcare Foundation, Inc.
Southern Illinois Healthcare Foundation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-05-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois