Individual
MR. PETER CHARLES GRUNNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., L.M.F.T.
Contact information
Practice address
1206 W 96TH ST, BLOOMINGTON, MN 55431-2606
(952) 884-4882
(952) 884-0284
Mailing address
13705 HEATHER HILLS DR, BURNSVILLE, MN 55337-3909
(952) 432-1917
(612) 861-3446
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1375
MN
Other
Enumeration date
05/12/2008
Last updated
01/30/2009
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