Individual
EVAN WALTER GRUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
720 MONROE ST STE C208, HOBOKEN, NJ 07030-6350
(201) 535-2476
Mailing address
1555 ANN ST, FORT LEE, NJ 07024-2606
(607) 242-6913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00777800
NJ
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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