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NPI 1124128491

IndividualActive

Alfred Granson, M.D., LLC

NPI 1124128491 · Specialist · Mansfield, OH

Provider details

NPI number: 1124128491
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: M.D., LLC
Sex: Male
Sole proprietor: Yes
License: 35072595G (OH)

Practice location

70 Madison Rd

Mansfield, OH 44905-2831

Phone: (419) 589-9700

Fax: (419) 589-2731

More OH providers

Mailing address

70 Madison Rd

Mansfield, OH 44905-2831

Registry dates

Enumerated: 2006-09-25
Last updated: 2011-08-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alfred Granson, M.D., LLC — NPI 1124128491, Mansfield, OH | NPI Central