Individual
MARTIN J GRUENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2550 N THUNDERBIRD CIR, SUITE 303, MESA, AZ 85215-1214
(480) 776-1603
(480) 455-4940
Mailing address
2550 N THUNDERBIRD CIR, SUITE 303, MESA, AZ 85215-1214
(480) 776-1603
(480) 455-4940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB05665000
NJ
207Q00000X
Family Medicine Physician
25MB05665000
NJ
2083X0100X
Occupational Medicine Physician
Primary
4496
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8486905
—
NJ
Enumeration date
09/27/2006
Last updated
04/05/2013
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