Individual
BEVERLY GRUENZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, ATR
Contact information
Practice address
135 MYERS FIELDHOUSE, MINNESOTA STATE UNIVERSITY MANKATO, MANKATO, MN 56001-6171
(507) 469-9075
Mailing address
135 MYERS FIELDHOUSE, MINNESOTA STATE UNIVERSITY MANKATO, MANKATO, MN 56001-6171
(507) 469-9075
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2715
MN
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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