Individual
DR. DANE R GRENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3326
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(215) 707-3326
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101025566
MI
207L00000X
Anesthesiology Physician
Primary
OS021334
PA
Other
Enumeration date
04/03/2016
Last updated
06/22/2023
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