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Organization

GRUNWALDT FALBO PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORELEI GRUNWALDT MD (CEO)
(513) 582-9990
Entity
Organization

Contact information

Practice address
873 BEBOUT RD, VENETIA, PA 15367-1215
(724) 518-9897
Mailing address
873 BEBOUT RD, VENETIA, PA 15367-1215
(724) 518-9897

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002037589
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/01/2020
Last updated
03/01/2020
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