Individual
MRS. CHANTEE SEUNG GRUENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
737 NORTH BROADWAY, SANFORD UROLOGY CLINIC, FARGO, ND 58122
(701) 234-2301
(701) 234-2130
Mailing address
737 NORTH BROADWAY, SANFORD HEALTH, FARGO, ND 58122
(701) 234-2301
(701) 234-2130
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
R30750
ND
363LF0000X
Family Nurse Practitioner
Primary
R30750
ND
Other
Enumeration date
06/27/2012
Last updated
01/12/2015
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