Individual
DR. DENNIS WAYNE GRANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3939 J ST, SUITE 270, SACRAMENTO, CA 95819-3631
(916) 454-3668
(916) 454-9255
Mailing address
87 SCRIPPS DR STE 306, SACRAMENTO, CA 95825-6318
(916) 920-0371
(916) 920-8533
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3293
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E32930
—
CA
Enumeration date
09/26/2005
Last updated
04/15/2021
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