Individual
MARLENE GRENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE, SUITE A 581, SAN FRANCISCO, CA 94143-2202
(415) 353-2357
Mailing address
400 PARNASSUS AVE, SUITE A 581, SAN FRANCISCO, CA 94143-2202
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
41320
AZ
2086S0129X
Vascular Surgery Physician
41320
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
860338466
TAX-ID
AZ
Enumeration date
03/31/2009
Last updated
02/10/2010
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