Michael A Grandner, PHD
Psychiatry & Neurology, Psychiatry in Tucson, AZ. Individual provider (NPI-1).
NPI number1982809422
StatusActive
Last updated in NPPESJul 22, 2025
Details
- NPI
- 1982809422
- Entity type
- Individual (NPI-1)
- Name
- Michael A Grandner
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2007
- Certification date
- Jul 22, 2025
- Last updated
- Jul 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | PS016956 | PA | Yes |
Practice location
2800 E Ajo WayTucson, AZ 85713-6204
Phone 215-776-4391
Mailing address
3535 Market Street2nd Floor
Philadelphia, PA 19104-3309
Phone 215-746-6701
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