Individual
GRANT NYBAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
383 E GRAND AVE STE A, SOUTH SAN FRANCISCO, CA 94080-6234
(650) 616-2951
Mailing address
383 E GRAND AVE STE A, SOUTH SAN FRANCISCO, CA 94080-6234
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MT193042
PA
Other
Enumeration date
06/27/2008
Last updated
11/22/2024
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