Individual
INA GRUNDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
NAVA HEALTH AND VITALITY CENTER, 8880 MCGAW RD, COLUMBIA, MD 21045
(410) 910-6156
Mailing address
4801 YELLOWWOOD AVE, BALTIMORE, MD 21209-4622
(410) 367-5622
(410) 367-1960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101264272
VA
207Q00000X
Family Medicine Physician
Primary
D0068193
MD
Other
Enumeration date
04/22/2008
Last updated
03/09/2020
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