Individual
MR. MICHAEL DWYER GRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4779 POINT FOSDICK DR STE 500, GIG HARBOR, WA 98335-2318
(253) 530-8460
(253) 530-8465
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
(253) 459-8009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60805134
WA
Other
Enumeration date
05/17/2016
Last updated
02/01/2023
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