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Contact Information

MARK E MCGRANAHAN, MD
1230 GEORGE E. CHANCE PARKWAY
CASEYVILLE, IL62232
 Phone: 618-345-5437
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARK E MCGRANAHAN · (Male)

NPI Number 1215922000
Status Active
Credentials MD
Entity Individual
Enumeration date 09/16/2005
Last updated 08/13/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-111323
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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