Individual
DARREN LLOYD GRUNWALDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
781 36TH ST SE, WYOMING, MI 49548-2319
(616) 252-4100
(616) 252-4953
Mailing address
1150 E SHERMAN BLVD, STE 2400, MUSKEGON, MI 49444-1886
(231) 672-6336
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101016401
MI
207Q00000X
Family Medicine Physician
5101016401
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OE06239098
MEDICARE
MI
Enumeration date
05/03/2007
Last updated
12/31/2021
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