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Organization
DAVID P GRUNDMAN DPM
Active
Organization
DAVID P GRUNDMAN DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN J GRUNDMAN (BUSINESS MANAGER)
(812) 882-3312
Entity
Organization
Contact information
Practice address
902 N 7TH STREET, VINCENNES, IN 47591
(812) 882-3312
(812) 882-6181
Mailing address
902 N 7TH STREET, PO BOX 404, VINCENNES, IN 47591
(812) 882-3312
(812) 882-6181
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016003243
IL
213E00000X
Podiatrist
Primary
07000497
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200318820A
—
IN
Enumeration date
12/08/2006
Last updated
09/11/2008
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