Individual
GARY STEPHEN GRANAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2387 ORCHARD LAKE RD, SYLVAN LAKE, MI 48320-1651
(248) 302-4122
Mailing address
2387 ORCHARD LAKE RD, SYLVAN LAKE, MI 48320-1651
(248) 302-4122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
628
MI
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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