PATRICK GRANNEMAN

OZARK, MO
NPI1679954093
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2018014589)
Enumeration Date2015-06-11
Last Update Date2018-06-26
Business Address
PATRICK GRANNEMAN DO
505 N 25TH ST
OZARK, MO 65721
Phone number: 417-581-3548
Mailing Address
PATRICK GRANNEMAN DO
505 N 25TH ST
OZARK, MO 65721-9069
Phone number: 417-581-3548
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