Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 126442 | FL |
Y | 207T00000X | Neurosurgeon | 35.077606 | OH |
NPI | 1083654875 |
---|---|
Provider Name | Dr. Yannick Grenier |
First Address | Cincinnati, OH 45212-2280 |
Second Address | Cincinnati, OH 45212-2280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 23/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H17574 | (02) |