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Individual
ANDREW ROBERT GRUDZINSKI
Active
Individual
ANDREW ROBERT GRUDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20748
NV
208800000X
Urology Physician
21055
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206911
UNISON HEALTH PLAN
SC
01
—
2280313
CIGNA MEDICARE
NC
01
—
5580793
AETNA
SC
05
—
5907458
—
NC
01
—
771828
WELLCARE
SC
01
—
790598L
EDS
NC
01
—
80023030
SELECT HEALTH
SC
01
—
8522204
CIGNA
SC
05
—
GP1521
—
SC
05
—
GP4522
—
SC
01
—
P00360558
RAILROAD MEDICARE
SC
05
—
T50860
—
SC
Enumeration date
03/08/2006
Last updated
02/02/2021
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