Individual
PETER GRUNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 VINTAGE VALLEY PKWY, ZILLAH, WA 98953-9800
(509) 314-6565
Mailing address
PO BOX 719, SUNNYSIDE, WA 98944-0719
(509) 837-1617
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD.MD.60798302
WA
207T00000X
Neurological Surgery Physician
Primary
MDFE60623432
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094572
—
WA
Enumeration date
10/21/2016
Last updated
07/22/2026
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