Individual
DR. DAVID CARL GRULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 W BRAMBLETON AVE, SUITE #202, NORFOLK, VA 23510-1115
(757) 623-6624
Mailing address
400 W BRAMBLETON AVE, SUITE #202, NORFOLK, VA 23510-1115
(757) 623-6624
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101030030
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B59789
UPIN
VA
Enumeration date
10/11/2006
Last updated
02/20/2008
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