Individual
ANDREW JOSEPH GRUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 STANTON L YOUNG BLVD # 1140, OKLAHOMA CITY, OK 73104
(405) 271-4351
Mailing address
920 STANTON L YOUNG BLVD # 1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
34783
OK
390200000X
Student in an Organized Health Care Education/Training Program
TL0005679
CO
Other
Enumeration date
05/28/2015
Last updated
07/22/2019
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