Granowicz, Vincent J

Granowicz, Vincent J is an individual health care provider with primary practice located at 30701 Woodward Ave Suite 314, Royal Oak MI 48073-0987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Granowicz, Vincent J can be contacted via phone (248) 288-6500.

Contact Information

Primary practice address
30701 Woodward Ave Suite 314 Royal Oak MI 48073-0987
Phone: (248) 288-6500
Fax: (248) 288-2272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 004688 Michigan

Profile Details

NPI number 1528057270
LBN Legal business name Granowicz, Vincent J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Oct 24th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528057270 NPPES
Michigan MEDICAID 4379767 11

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