GRANT NYBAKKEN

PHILADELPHIA, PA
NPI1104088400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: PA  MT193042)
Enumeration Date2008-06-27
Last Update Date2021-12-15
Business Address
-- GRANT NYBAKKEN M.D.
3400 SPRUCE ST 1 MALONEY
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-3957
Mailing Address
-- GRANT NYBAKKEN M.D.
3400 SPRUCE ST 1 MALONEY
PHILADELPHIA, PA 19104-4238
Phone number:
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