Individual
BRUNA M. GRIENEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1200 WOOD ST, BROCKWAY, PA 15824-2118
(814) 265-8636
(814) 265-8536
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 265-8636
(814) 265-8536
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA-052124
PA
Other
Enumeration date
08/01/2006
Last updated
06/17/2011
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