Individual
ADAM GRUMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3171 NE CARNEGIE DR STE A, LEES SUMMIT, MO 64064
(816) 525-2800
(816) 525-4077
Mailing address
3171 NE CARNEGIE DR STE A, LEES SUMMIT, MO 64064-3226
(816) 525-2800
(816) 525-4077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019024493
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2500034655
BNDD
MO
Enumeration date
03/23/2016
Last updated
07/01/2019
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