Organization · Type 2 NPI

Physical Medicine Clinic of Granite City Ltd

Adult Health Nurse Practitioner · Granite City, IL

NPI number 1992039747 Active

About NPI 1992039747

Physical Medicine Clinic of Granite City Ltd's National Provider Identifier is 1992039747, issued on Sep 28, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Granite City, IL. The record was last updated on Oct 15, 2013.