Granberg, Steven J

Granberg, Steven J is an individual health care provider with primary practice located at 13131 Tesson Ferry Rd Suite #105, Saint Louis MO 63128-3887. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Granberg, Steven J can be contacted via phone (314) 756-8035.

Contact Information

Primary practice address
13131 Tesson Ferry Rd Suite #105 Saint Louis MO 63128-3887
Phone: (314) 756-8035
Fax: (314) 756-8050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 104051 Missouri
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 104051 Missouri

Profile Details

NPI number 1881673382
LBN Legal business name Granberg, Steven J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Feb 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881673382 NPPES
Missouri MEDICAID 208256917

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