Individual
DR. RAINER W GRUESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 EAST ADAMS ST, STE 2W, SYRACUSE, NY 13210
(315) 464-9535
(315) 464-6288
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13210
(315) 464-2096
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
280878
NY
204F00000X
Transplant Surgery Physician
36718
AZ
208600000X
Surgery Physician
280878
NY
208600000X
Surgery Physician
33689
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060697
—
MT
05
—
0977264
—
IA
01
—
1009125
PREFERREDONE
—
01
—
101022
UCARE
—
01
—
1712215
MEDICA - CHOICE
—
05
—
213545
—
AZ
01
—
2T096GR
BLUE CROSS BLUE SHIELD
—
05
—
690580300
—
MN
01
—
763592
ARAZ
—
01
—
HP22171
HEALTHPARTNERS
—
01
—
P00435421
RAILROAD MEDICARE
AZ
Enumeration date
11/13/2006
Last updated
08/31/2015
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