IndividualActive
Nathan Granneman, M.D.
NPI 1689960171 · Occupational Medicine Physician · Columbia, MO
Provider details
- NPI number
- 1689960171
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2012023532 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
401 N Keene St
Columbia, MO 65201-6625
Phone: (573) 876-1600
Fax: (573) 876-1606
Approximate (ZIP-level) locationGet directions
Mailing address
401 N Keene St
Columbia, MO 65201-6625
Additional practice locations (1)
- 601 W Business Loop 70 Ste 275Columbia, MO 65203-2522Phone: (573) 874-0008Fax: (573) 875-5350
Registry dates
- Enumerated
- 2011-06-22
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.