Individual
DANIEL GRANT GROENEWEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13135 OLD GLENN HWY STE 100, EAGLE RIVER, AK 99577-7584
(907) 696-9090
(907) 696-9091
Mailing address
13135 OLD GLENN HWY STE 100, EAGLE RIVER, AK 99577-7584
(907) 696-9090
(907) 696-9091
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
128196
AK
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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