Dr. Glynn A. Granger MD
Surgery Physician in Opelousas, LA(View on Map)
Full Name
Dr. Glynn Adam Granger MD
NPI Number
1629069034
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/03/2005
Specialties
(Taxonomies)Licenses
State
Louisiana
License Number
011393
Contact
Information
Purpose
Mailing
Location
Address
3975 I 49 S SERVICE RD
3975 I 49 S SERVICE RD
City
Opelousas
Opelousas
State
LA
LA
Postal Code
70570-0775
70570-0775
Country
US
US
Telephone Number
(337) 948-7680
(337) 948-7680
Identifiers
Identifier
1134643
Identifier State
LA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/02/2007
Provider Address
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