Individual
DOUGLAS J GRUENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 GARFIELD ST, QUINTER, KS 67752-9795
(785) 754-3333
(785) 754-2335
Mailing address
501 GARFIELD ST, QUINTER, KS 67752-9795
(785) 754-3333
(785) 754-2335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28949
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100420600A
—
KS
01
—
102120
BCBS
KS
Enumeration date
05/19/2006
Last updated
12/22/2011
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