Provider Demographics
NPI:1003492877
Name:GRANBERG, RACHEL ELIZABETH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:GRANBERG
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:1 CHILDRENS PL MSC 8116-0043-09
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-454-2341
Mailing Address - Fax:314-454-2561
Practice Address - Street 1:1 CHILDRENS PL MSC 8116-0043-09
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-454-2341
Practice Address - Fax:314-454-2561
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2024-03-08
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Provider Licenses
StateLicense IDTaxonomies
MO2021022681208000000X
KS94-10628208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics