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1669829933
MICHAEL DWYER GRENNAN
GIG HARBOR, WA
NPI
1669829933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60805134)
Enumeration Date
2016-05-17
Last Update Date
2023-02-01
Business Address
Mr. MICHAEL DWYER GRENNAN
4779 POINT FOSDICK DR STE 500
GIG HARBOR, WA 98335-2318
Phone number: 253-530-8460
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Mailing Address
Mr. MICHAEL DWYER GRENNAN
PO BOX 5299 MS: 820-5-PCO
TACOMA, WA 98415-0299
Phone number: 253-459-8009
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