Individual
MICHAEL GRUENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY MEDICAL COLLEGE, MC70, ALBANY, NY 12208-3412
(518) 262-2754
(518) 262-6261
Mailing address
47 NEW SCOTLAND AVE, ALBANY MEDICAL COLLEGE, MC70, ALBANY, NY 12208-3412
(518) 262-2754
(518) 262-6261
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
239220
NY
2084N0600X
Clinical Neurophysiology Physician
239220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64273188
—
KY
Enumeration date
07/12/2005
Last updated
10/08/2010
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