Individual
UGIS GRUNTMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL DR, LEBANON, NH 03756-0001
(603) 650-8630
Mailing address
95 YALE ACRES RD, MERIDEN, CT 06450-4361
(203) 634-6615
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
20881
NH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
L2912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147772101
—
TX
01
—
8974N0
MEDICARE
—
Enumeration date
04/25/2006
Last updated
10/08/2020
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