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Individual
SUSAN K GRENZ
Active
Individual
SUSAN K GRENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12279
ND
207R00000X
Internal Medicine Physician
Primary
18697
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102600
AUMED
—
01
—
123062
HUMANA
—
01
—
123063
HUMANA GOLD
—
01
—
3000067
BAYCARE
—
01
—
3386236002
CIGNA
—
01
—
592712571
UNITED HEALTH CARE
—
01
—
622728
AETNA
—
01
—
62527
BCBS
—
Enumeration date
02/06/2006
Last updated
12/16/2013
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