Individual
DR. ANDREW GRUENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5105 SOM CENTER RD #202, WILLOUGHBY, OH 44094
(440) 953-5760
(440) 953-5761
Mailing address
2687 EDGEHILL RD, CLEVELAND HEIGHTS, OH 44106-2805
(937) 430-5005
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35.145712
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224048
—
OH
Enumeration date
04/10/2017
Last updated
06/29/2022
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