GRANITE CITY CLINIC CORP

Nurse Anesthetist, Certified Registered

Active Organization
NPI: 1003892464

Practice Address

2100 MADISON AVE
Granite City, IL 62040

Phone: (618) 798-3000

Specialties

Specialty Code Primary License
Anesthesiology 207L00000X No -
Nurse Anesthetist, Certified Registered 367500000X Yes -

Frequently Asked Questions

NPI 1003892464 is the National Provider Identifier for GRANITE CITY CLINIC CORP, a Nurse Anesthetist, Certified Registered provider located in Granite City, IL. This NPI was enumerated on December 19, 2005.

Quick Facts

NPI
1003892464
Type
Organization
Enumerated
Dec 19, 2005
Last Updated
Jul 30, 2007

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