Search › Indiana › 207Q00000X
Justin Grannell, DO
NPI 1609197391 · on the registry since 2010
Practice
- Address
- 306 E Vistula
Bristol, IN 46507 - Phone
- (574) 848-4427
- Fax
- (574) 848-4592
- Organisation at this address
- Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 206 W Warren St, Middlebury, IN
- 3301 County Road 6 E, Elkhart, IN
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-06
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 Indiana