Stefan J Grenvik MD

NPI 1770513913 - Anesthesiology - 207L00000X

NPI Details
NPI 1770513913
Gender Male
Enumeration Date 07/04/2006
Last Updated 03/12/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1 MEDICAL PARK BLVD
BRISTOL TN, 37620-7430, US
Phone (423) 968-4540
Fax (423) 968-5697
Business Location
350 BLOUNTVILLE HWY
SUITE 207
BRISTOL TN, 37620-0213, US
Phone (423) 968-4540
Fax (423) 968-5697
Toxanomy
Taxonomy Code 207L00000X
License State Tennessee
License Number MD024364
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According to our database, Stefan J Grenvik MD NPI is 1770513913, taxonomy code is 207L00000X and license number is MD024364, license state is located at Tennessee. Stefan J Grenvik MD physically located at 1 Medical Park Blvd, Bristol TN, 37620-7430. NPI Number Stefan J Grenvik MD has the Individual type.

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1770513913 NPI number is provided on an as is basis without warranty of any kind. 1770513913 is maintained by the National Plan & Provider Enumeration System. The contents of Stefan J Grenvik MD are for informational purposes only.