Individual
DR. DIANA GRANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 2ND AVE, SUITE 303, BOWLING GREEN, KY 42101-1778
(270) 781-5111
(270) 780-0478
Mailing address
720 2ND AVE, 303, BOWLING GREEN, KY 42101-1778
(270) 781-5111
(270) 780-0478
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25009
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049407
BCBS
KY
05
—
64250095
—
KY
Enumeration date
10/04/2005
Last updated
07/02/2014
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