Individual
DR. BRUCE MARK GRUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
248 BLYMYER AVE, MANSFIELD, OH 44903-2306
(419) 524-2212
(419) 524-9040
Mailing address
248 BLYMYER AVE, MANSFIELD, OH 44903-2306
(419) 524-2212
(419) 524-9040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-058310
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0740872
—
OH
Enumeration date
07/08/2005
Last updated
08/05/2024
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