Organization
M. G. GRUNDMAN & SONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GRUNDMAN C.PED (PRESIDENT)
(812) 882-4770
Entity
Organization
Contact information
Practice address
906 N 7TH ST, VINCENNES, IN 47591-3108
(812) 882-4770
Mailing address
906 N 7TH ST, VINCENNES, IN 47591-3108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100277360A
—
IN
Enumeration date
11/21/2005
Last updated
01/22/2010
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