Individual
STEPHEN JOSEPH GRINDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7111 E. 21ST STREET N., SUITE A, WICHITA, KS 67206-1078
(316) 684-2851
(316) 683-5239
Mailing address
7111 E. 21ST STREET N., SUITE A, WICHITA, KS 67206-1078
(316) 684-2851
(316) 683-5239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-21958
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233010D
—
KS
Enumeration date
04/19/2006
Last updated
07/28/2016
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