Grenda, Tyler Ross

Grenda, Tyler Ross is an sole proprietor health care provider with primary practice located at 1100 Walnut St Fl 5 , Philadelphia PA 19107-4944. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Grenda, Tyler Ross can be contacted via phone (215) 955-6750.

Contact Information

Primary practice address
1100 Walnut St Fl 5 Philadelphia PA 19107-4944
Phone: (215) 955-6750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301097169 Michigan
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD468465 Pennsylvania

Profile Details

NPI number 1023337821
LBN Legal business name Grenda, Tyler Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2010
Last updated Aug 30th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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