Individual
BERNIE GRUSZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12382 OLIVE BLVD, CREVE COEUR, MO 63141-6443
(314) 453-9675
Mailing address
12116 MONTOUR DR, SAINT LOUIS, MO 63131-4317
(314) 822-1099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0074
LICENSE #
MO
Enumeration date
08/24/2006
Last updated
07/08/2007
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