Individual
DR. MICHAEL J GRUSENMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26908 DETROIT RD, STE. 201, WESTLAKE, OH 44145-2398
(440) 777-3500
Mailing address
26908 DETROIT RD, STE. 301, WESTLAKE, OH 44145-2398
(440) 617-1821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G35048416
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0673052
—
OH
Enumeration date
01/25/2006
Last updated
11/30/2016
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