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Individual

DR. TODD RICHARD GREBNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2055
Mailing address
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404-3322
(423) 624-2696
(423) 697-2055

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO2353
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DO2353
MEDICAL LICENSE
TN
Enumeration date
05/13/2007
Last updated
11/07/2012
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