Individual
DAVID PATRICK GRUNDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5354 PARKDALE DR STE 375, ST LOUIS PARK, MN 55416-1612
(952) 224-0399
(952) 224-0396
Mailing address
5721 22ND AVE S, MINNEAPOLIS, MN 55417-2703
(763) 232-5479
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1885
MN
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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