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Individual

DR. ALEXANDRA KAY GRULKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
708 W NIELDS ST, WEST CHESTER, PA 19382-2128
(610) 431-0200
(610) 431-9333
Mailing address
708 W NIELDS ST, WEST CHESTER, PA 19382-2128
(610) 431-0200
(610) 431-9333

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004828L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101205767 0001
PUBLIC WELFARE
PA
Enumeration date
07/30/2005
Last updated
02/14/2020
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