Granke, Kenneth
Granke, Kenneth is an individual health care provider with primary practice located at 2104 E 11 Mile Rd Suite 600, Warren MI 48091-6122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Granke, Kenneth can be contacted via phone (734) 464-0887.Contact Information
Primary practice address
2104 E 11 Mile Rd Suite 600
Warren MI 48091-6122
Phone: (734) 464-0887
Fax: (734) 402-0254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 4301046290 | Michigan |
Profile Details
| NPI number | 1851338347 |
|---|---|
| LBN Legal business name | Granke, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Aug 19th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851338347 | NPPES |
| Michigan | MEDICAID | 1851338347 |
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