Individual
PENNY TOSHIE GRUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
4364 7TH ST, MOLINE, IL 61265-6867
(866) 235-6763
(309) 762-2919
Mailing address
27144 LEVI LN, PRINCETON, IA 52768-9711
(563) 940-4306
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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