Individual
ARNOLD STEPHAN GRANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
22344
NC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
22344
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24532
MEDCOST
NC
01
—
3601
PARTNERS MEDICARE CHOICE
NC
01
—
36720
BCBS NC
NC
01
—
4315329
AETNA
NC
05
—
8936720
—
NC
Enumeration date
05/26/2006
Last updated
06/24/2014
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