Individual
DAVID W GRATTENDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 DOUGLAS BLVD, ROSEVILLE, CA 95661-3866
(916) 774-8500
(916) 773-9223
Mailing address
10470 OLD PLACERVILLE RD, SUITE 10, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A53186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A531860
—
CA
Enumeration date
08/31/2006
Last updated
06/03/2015
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