Individual
RICHARD T GRUNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-4097
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
036133761
IL
208800000X
Urology Physician
Primary
0420008331
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0121
—
VT
Enumeration date
11/08/2005
Last updated
11/13/2013
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