Individual
MR. RICHARD LOUIS GRUENEWALD
Active
Individual
MR. RICHARD LOUIS GRUENEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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