Individual
DR. ROBERT JAY GRUENENFELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
711 HIGHWAY 68, SWEETWATER, TN 37874-1926
(423) 337-3761
(423) 337-9705
Mailing address
711 HIGHWAY 68, SWEETWATER, TN 37874-1926
(423) 337-3761
(423) 337-9705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC000619
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11366966
CAQH ID
TN
05
—
3674946
—
TN
01
—
4067808
BLUE CROSS
TN
01
—
P00056709
RAILROAD MEDICARE
TN
Enumeration date
07/07/2005
Last updated
04/25/2011
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