Individual
MR. ALLEN CONRAD GRUENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
26184 OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7527
(313) 382-7906
Mailing address
9009 CARTER AVE, ALLEN PARK, MI 48101-1582
(313) 389-7527
(313) 382-7906
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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