Individual
DR. KIRK FREDRICK GRANLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 RALEY BLVD, CHICO, CA 95928-8347
(530) 897-4500
(530) 897-4544
Mailing address
131 RALEY BLVD, CHICO, CA 95928-8347
(530) 897-4500
(530) 897-4544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A65440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A654400
—
CA
01
—
ZZZ528462
BLUE SHIELD
—
Enumeration date
03/15/2006
Last updated
10/26/2020
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