Individual
WAYNE WILLIAM GRODY
Active
Individual
WAYNE WILLIAM GRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
C40899
CA
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
C40899
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
C40899
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C408990
—
CA
Enumeration date
06/24/2006
Last updated
07/06/2023
Update your record
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