Individual
NICOLE GRUNENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16110 8TH AVE SW, SUITE A-1, BURIEN, WA 98166-2962
(206) 246-1012
(206) 242-4437
Mailing address
PO BOX 34936, DEPT # 5006, SEATTLE, WA 98124-1936
(206) 439-2988
(206) 431-3939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034119
WA
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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