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Individual

GAIL M GRUNKEMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
19229 MACK AVE STE 24, GROSSE POINTE WOODS, MI 48236-2857
(313) 884-5522
(313) 884-6054
Mailing address
18818 HILLCREST ST, LIVONIA, MI 48152-3340
(248) 346-3582

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704276376
MI

Other

Enumeration date
04/12/2019
Last updated
01/14/2020
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