Organization
MARSHA GRANESE, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHA FUNDERBURK GRANESE M.D. (OWNER)
(949) 589-6487
Entity
Organization
Contact information
Practice address
22032 EL PASEO, SUITE 200, RANCHO SANTA MARGARITA, CA 92688-3947
(949) 589-6487
Mailing address
22032 EL PASEO, SUITE 200, RANCHO SANTA MARGARITA, CA 92688-3947
(949) 589-6487
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A83534
CA
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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