Individual
JOHN W. GRANETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 N CLOVIS AVE, CLOVIS, CA 93612-0303
(559) 325-3600
Mailing address
120 N CLOVIS AVE, CLOVIS, CA 93612-0303
(559) 325-3600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-075516
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-075516
—
IL
Enumeration date
08/30/2005
Last updated
04/22/2019
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