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Individual

NORMAN DEAN GRAMSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7550 N 19TH AVE STE 201, PHOENIX, AZ 85021-7976
(602) 973-3100
(602) 973-0978
Mailing address
PO BOX 41908, PHOENIX, AZ 85080-1908
(602) 973-3100
(602) 973-0978

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3181
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
982117
AZ
Enumeration date
04/25/2006
Last updated
02/20/2015
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