Individual
KURT GRUENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, AT, ATC
Contact information
Practice address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
(937) 766-7700
Mailing address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004726
OH
Other
Enumeration date
07/08/2015
Last updated
04/06/2017
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