Kenneth Granke is a Vascular Surgery in Warren, Michigan. Kenneth Granke practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Kenneth Granke is 1851338347. The last update date is 2015-08-19.
Kenneth Granke's current location address is 2104 E 11 Mile Rd, Warren, Michigan. You can contact this provider via phone number 7344640887 and fax number 7344020254. The mailing address for Kenneth Granke is 2104 E 11 Mile Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Granke |
|---|---|
| Address | 2104 E 11 Mile Rd, Warren, Michigan |
| Phone Number | 7344640887 |
| Fax Number | 7344020254 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1851338347 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2015-08-19 |
Provider Mailing Address Detail
| Address | 2104 E 11 Mile Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480916122 |
| Phone Number | 7344640887 |
| Fax Number | 7344020254 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 4301046290 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1851338347 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Granke by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Granke has been assigned the NPI (National Provider Identifier) 1851338347. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kenneth Granke?
The Kenneth Granke is physically situated at 2104 E 11 Mile Rd, in the city of Warren, state of MI, with the postal code 480916122.
What is Kenneth Granke's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth Granke is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
On what date did Kenneth Granke receive its 1851338347 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Granke was assigned its 1851338347 on 2006-06-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kenneth Granke most recently updated or refreshed?
The details pertaining to the Kenneth Granke, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-08-19.