Individual
DR. DANIELLE SUZANNE GRUNLOH-GUMPENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 WINDING WOODS DR STE 200, O FALLON, MO 63366-5081
(636) 240-0130
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(636) 240-0130
(636) 240-6822
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2017018655
MO
Other
Enumeration date
06/14/2017
Last updated
05/08/2024
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