Individual
DR. CHRISTOPHER MARK GRUSSENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
RANDOLPH AFB MTF, 221 THIRD STREET WEST, BLDG 1040, JBSA, RANDOLPH, TX 78150
(210) 652-8544
Mailing address
RANDOLPH AFB MTF, 221 THIRD STREET WEST, BLDG 1040, JBSA, RANDOLPH, TX 78150
(210) 652-8544
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
0101229870
VA
Other
Enumeration date
09/23/2005
Last updated
06/20/2022
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