Individual
SAM E GRUNER
Active
Individual
SAM E GRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD18027
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051461
—
OR
01
—
300101075
RAILROAD MEDICARE
OR
05
—
8142721
—
WA
05
—
MD1805R
—
AK
Enumeration date
06/11/2006
Last updated
10/17/2011
Update your record
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