Individual
LYNN GRUNKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
1280 W 90TH AVE, APT 206, MERRILLVILLE, IN 46410-6738
(937) 673-4055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002293A
IN
Other
Enumeration date
08/16/2014
Last updated
08/16/2014
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