Individual
DR. GREGORY GRUNWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO22277
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138021
—
OR
01
—
838334020
BCBS-ROSEBURG
OR
01
—
838366007
BCBS-MCMINNVILLE
OR
01
—
844477024
BCBS-GRANTS PASS
OR
01
—
858463018
BCBS-MEDFORD
OR
01
—
858464016
BCBS-SPRINGFIELD
OR
01
—
P00285793
RR MEDICARE
OR
Enumeration date
03/28/2006
Last updated
09/23/2010
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