Provider Demographics
NPI:1033360813
Name:GRENANDER, TONY (MSW)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:
Last Name:GRENANDER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KLIMATGATAN 17
Mailing Address - Street 2:
Mailing Address - City:GOTHENBURG
Mailing Address - State:S
Mailing Address - Zip Code:41840
Mailing Address - Country:SE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17 KLIMATGATAN
Practice Address - Street 2:
Practice Address - City:GOTHENBURG
Practice Address - State:S
Practice Address - Zip Code:41840
Practice Address - Country:SE
Practice Address - Phone:463-154-8318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker