| Traci Jane Grussenmeyer, | |
|
9300 Valley Childrens Pl # Sc05, Madera, CA 93636-8761 | |
| (559) 353-5700 | |
| (559) 353-5708 |
| Full Name | Traci Jane Grussenmeyer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 9300 Valley Childrens Pl # Sc05, Madera, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770058521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95010232 (California) | Secondary |
| 363A00000X | Physician Assistant | 56099 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Jane Grussenmeyer, 3159 Bertis Dr, Sacramento, CA 95821-4453 Ph: (480) 250-9156 | Traci Jane Grussenmeyer, 9300 Valley Childrens Pl # Sc05, Madera, CA 93636-8761 Ph: (559) 353-5700 |
Douglas Tyler Howell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1250 E Almond Ave, Madera, CA 93637 Phone: 559-675-5555 | |
Eliezer Alvarez, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1210 E Almond Ave, Madera, CA 93637 Phone: 559-675-2990 | |
Ramses Sanchez Jr., PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 344 E 6th St, Madera, CA 93638 Phone: 559-664-4000 | |
Mr. Stephen M Manigo-hedt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 South B Street, Camarena Health Center, Madera, CA 93638 Phone: 559-664-4004 | |
Samantha Jo Gallo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 344 E 6th St, Madera, CA 93638 Phone: 559-664-4000 | |
Mr. Curtis Winder Tanner, PA-C/SA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1210 E Almond Ave, Madera, CA 93637 Phone: 559-675-5530 Fax: 559-675-5532 | |
Mrs. Shagufta Nazir Khan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1250 E Almond Ave, Madera, CA 93637 Phone: 559-675-5512 |