Individual
GRIFFIN DAVID TANENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE STE 100, LOVELAND, CO 80538-9004
(970) 221-1000
Mailing address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008304
IL
Other
Enumeration date
04/26/2021
Last updated
11/25/2022
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