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NPI Code Detail

MEDICARE: WILLIAM MCGRANE

MEDICARE: WILLIAM MCGRANE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1558044339
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM MCGRANE
Provider Business Mailing Address
First Line : 11310 LOFTUS LN
Second Line :
City : UNION
State : KY
Zip : 41091-9222
Country : US
Telephone Number : 859-384-6333
Fax Number :
Provider Business Practice Location Address
First Line : 5850 CENTER HILL AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45232-1419
Country : US
Telephone Number : 859-384-6333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2023
Last Update Date : 08/09/2023

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