Individual
GRANT GREGORY WUNDERLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Mailing address
7185 SANDPIPER ST, PORTAGE, MI 49024-7405
(269) 364-9794
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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