Individual
MARY S GRULKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8050 E MAIN ST STE 2300, REYNOLDSBURG, OH 43068-2652
(614) 865-8011
Mailing address
8050 E MAIN ST STE 2300, REYNOLDSBURG, OH 43068-2652
(614) 865-8011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.055777
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0739133
—
OH
Enumeration date
06/03/2006
Last updated
11/20/2024
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