Individual
DR. DAVID PAUL GRUNDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
902 N 7TH STREET, VINCENNES, IN 47591
(812) 882-3312
(812) 882-6181
Mailing address
PO BOX 404, VINCENNES, IN 47591
(812) 882-3312
(812) 882-6181
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000497
IN
213E00000X
Podiatrist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085487
ANTHEM BLUE SHIELD
—
01
—
130057
HEALTHLINK OPEN ACESS
—
01
—
T35088
UPIN
—
Enumeration date
10/06/2006
Last updated
03/18/2008
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