Individual
DR. GEORGE GRUNBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43494 WOODWARD AVE, STE 208, BLOOMFIELD HILLS, MI 48302-5054
(248) 335-7740
(248) 338-7979
Mailing address
43494 WOODWARD AVE, STE 208, BLOOMFIELD HILLS, MI 48302-5054
(248) 335-7740
(248) 338-7979
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301049764
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0634461
BCBS MICHIGAN
MI
01
—
37-1417837
TAX ID
MI
Enumeration date
06/16/2005
Last updated
10/10/2011
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