Individual
CHRISTOPHER ELLIOT GRUNKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, ATC
Contact information
Practice address
801 17TH AVE N, FARGO, ND 58102-2226
(605) 333-1500
Mailing address
1035 ELDORADO DR, OMAHA, NE 68154-1132
(402) 215-3844
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
05/21/2024
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