Tim W. Grennan MD

NPI 1972681617 - Internal Medicine - 207RH0003X

NPI Details
NPI 1972681617
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2025 MORSE AVE
SACRAMENTO CA, 95825-2115, US
Phone (916) 973-5000
Fax
Business Location
1800 HARRISON ST FL 7
OAKLAND CA, 94612-3429, US
Phone (510) 625-6262
Fax
Toxanomy
Taxonomy Code 207RH0003X
License State California
License Number G49590
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According to our database, Tim W. Grennan MD NPI is 1972681617, taxonomy code is 207RH0003X and license number is G49590, license state is located at California. Tim W. Grennan MD physically located at 2025 Morse Ave, Sacramento CA, 95825-2115. NPI Number Tim W. Grennan MD has the Individual type.

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1972681617 NPI number is provided on an as is basis without warranty of any kind. 1972681617 is maintained by the National Plan & Provider Enumeration System. The contents of Tim W. Grennan MD are for informational purposes only.