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Individual

STEPHEN PAUL GRANER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
51 KAI ONE PL, KAILUA, HI 96734-2102
(808) 262-1732
Mailing address
51 KAI ONE PL, KAILUA, HI 96734-2102
(808) 262-1732

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-8264
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5798002
HI
Enumeration date
02/08/2007
Last updated
06/01/2009
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