Joseph Granica, RDH

NPI 1952683609 · on the registry since 2011 · sole proprietor

Practice

Address: 15910 W Company Lake Rd
Hayward, WI 54843
Phone: (715) 934-2224
Fax: (715) 934-5740
Organisation at this address: Great Lakes Mental Health Center
Lakeview Medical Center Inc Of Rice Lake
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 124Q00000X
124Q00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin