Individual
MARK J GRUMBINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED.
Contact information
Practice address
2520 COLBY AVE, #5, EVERETT, WA 98201-2990
(360) 320-2478
Mailing address
26127 74TH AVE NW, STANWOOD, WA 98292-6215
(360) 631-8385
(360) 926-8736
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CPED3982
WA
Other
Enumeration date
06/06/2013
Last updated
09/26/2014
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