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Contact Information

STEVEN J GRANBERG, MD
13131 TESSON FERRY RD
SUITE #105
SAINT LOUIS, MO63128-3887
 Phone: 314-756-8035
 Fax: 314-756-8050
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for STEVEN J GRANBERG · (Male)

NPI # 1881673382
Status Active
Credentials MD
Entity Individual
Enumeration date 01/12/2006
Last updated 02/15/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 104051
  • MO Medicaid 208256917
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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