Individual
DR. KEVIN RENE GRULLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301082239
MI
207RP1001X
Pulmonary Disease Physician
4301082239
MI
207RP1001X
Pulmonary Disease Physician
Primary
57753
MN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301082239
MI
Other
Enumeration date
03/16/2009
Last updated
07/25/2024
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