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Individual

MEREDITH J GRUENWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 339-1166
(573) 339-7166
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
130792
MO
367A00000X
Advanced Practice Midwife
Primary
2019038054
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
429419716
MO
Enumeration date
02/02/2006
Last updated
04/23/2021
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