Individual
TIMOTHY J GRENEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1901 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87112-3303
(505) 407-2163
(505) 407-2125
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125
(505) 232-1920
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A96392
NM
Other
Enumeration date
07/11/2006
Last updated
04/24/2024
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