Individual
DR. MICHAEL GLENN GRUNEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6040 S YALE AVE, TULSA, OK 74135-7412
(918) 494-4040
(918) 496-4702
Mailing address
6040 S YALE AVE, TULSA, OK 74135-7412
(918) 494-4040
(918) 496-4702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17009
OK
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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