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Individual
MICHAEL JOHNATHAN GRUNSTED
Active
Individual
MICHAEL JOHNATHAN GRUNSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
48140
OK
2084P0800X
Psychiatry Physician
Primary
50030
OK
2084P0800X
Psychiatry Physician
Primary
50192
OK
390200000X
Student in an Organized Health Care Education/Training Program
50192
NULL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
07/10/2026
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