IndividualActive
Meredith Granholm, IDMT
NPI 1750515342 · Independent Duty Medical Technicians · Fairchild Afb, WA
Provider details
- NPI number
- 1750515342
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
701 Hospital Loop
92 Amds/Sgpe
Fairchild Afb, WA 99011-8704
Phone: (509) 247-5755
Fax: (507) 247-8833
Approximate (ZIP-level) locationGet directions
Mailing address
701 Hospital Loop
Fairchild Afb, WA 99011-8704
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2009-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.