Organization
ALAN W GRUNING DO & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN W GRUNING DO (PRESIDENT)
(941) 629-9700
Entity
Organization
Contact information
Practice address
4535 TAMIAMI TRL, PORT CHARLOTTE, FL 33980-2930
(941) 629-9700
(941) 629-5800
Mailing address
PO BOX 7151, FORT MYERS, FL 33911-7151
(941) 629-9700
(941) 629-5800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS5181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13652141400
WORKMENS COMPENSATION
OH
01
—
1497746804
MARY L HARDEN NPI
FL
01
—
1932190519
DR GRUNING NPI
FL
01
—
5174118
AETNA
FL
01
—
82989
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/15/2007
Last updated
04/20/2008
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