Individual
CURTIS MICHAEL GRENOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
145 HOSPITAL AVE, SUITE 311, DU BOIS, PA 15801-1462
(814) 375-3750
Mailing address
145 HOSPITAL AVE, SUITE 311, DU BOIS, PA 15801-1462
(814) 375-3750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA002194
PA
363AM0700X
Medical Physician Assistant
Primary
MA052799
PA
Other
Enumeration date
11/01/2006
Last updated
07/10/2007
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