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Individual

DR. WENDIE IRIS GRUNBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
414 W SUNSET RD STE 215, SAN ANTONIO, TX 78209-1771
(210) 714-5390
(210) 495-4114
Mailing address
414 W SUNSET RD STE 215, SAN ANTONIO, TX 78209-1771
(210) 714-5390
(210) 495-4114

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OT012444
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
Q6422
TX

Other

Enumeration date
12/08/2010
Last updated
07/21/2022
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