Individual
MR. RICHARD LOUIS GRUENEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3638 TREEHAVEN BND, OWENSBORO, KY 42303-1785
(270) 485-1238
(270) 684-4606
Mailing address
3638 TREEHAVEN BND, OWENSBORO, KY 42303-1785
(270) 485-1238
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
27791
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000754876
BCBS
KY
05
—
100024520A
—
IN
05
—
64277916
—
KY
01
—
P01079958
RR MEDICARE TROVER
KY
Enumeration date
05/27/2006
Last updated
10/18/2013
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