Marlene Grenon
Surgeon Vascular Surgeon
400 Parnassus Ave Suite A 581
San Francisco
, California 94143-2202
Marlene Grenon
Surgeon Vascular Surgeon
400 Parnassus Ave Suite A 581
San Francisco
, California 94143-2202
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Marlene Grenon
- 400 Parnassus Ave Suite A 581
- San Francisco, CA
- Zip : 94143-2202
- Phone :
Second Address
- Marlene Grenon
- 400 Parnassus Ave Suite A 581
- San Francisco, CA
- Zip : 94143-2202
- Phone : (415) 353-2357
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 41320 | AZ |
| Y | 208600000X | Surgeon | 41320 | AZ |
| N | 2086S0129X | Vascular Surgeon | 41320 | AZ |
National Provider Identifier
| NPI | 1124260534 |
|---|---|
| Provider Name | Marlene Grenon |
| First Address | San Francisco, CA 94143-2202 |
| Second Address | San Francisco, CA 94143-2202 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2009 |
| Last Update Date | 10/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 860338466 | TAX-ID (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.