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Individual
DR. VLADIMIR ALEXANDROVICH GREBENNIKOV
Active
Individual
DR. VLADIMIR ALEXANDROVICH GREBENNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K9291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1504755-01
—
TX
01
—
K9291
LICENSE
TX
Enumeration date
10/11/2005
Last updated
07/25/2013
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