Individual
KATHERINE GRUNDMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 821-4140
Mailing address
PO BOX 73276, BALTIMORE, MD 21273-3276
(800) 446-1115
(301) 631-1002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0054947
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381221900
—
MD
05
—
795002100
—
MD
Enumeration date
06/13/2006
Last updated
11/14/2007
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