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Individual

GREGORY MARK ENNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
A52095
CA
207SG0201X
Clinical Genetics (M.D.) Physician
MD-12592
HI
207SG0202X
Clinical Biochemical Genetics Physician
A52095
CA
207SG0207X
Medical Biochemical Genetics
Primary
A52095
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A52095
MEDICAL LICENSE
CA
01
MD-12592
MEDICAL LICENSE
HI
Enumeration date
09/13/2006
Last updated
04/09/2024
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