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Individual

GREG GRENZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
736 BROADWAY N, FARGO, ND 58102-4421
(701) 234-6735
Mailing address
1122 38 1/2 AVE W, WEST FARGO, ND 58078-7716
(701) 298-6236

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1158
ND

Other

Enumeration date
10/01/2014
Last updated
10/01/2014
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