Individual
DORIAN S GRUNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
164 SOUTH 5TH, MONTPELIER, ID 83254
(208) 390-7757
(208) 847-4425
Mailing address
457 NORTH 10TH STREET, MONTPELIER, ID 83254
(208) 847-0401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA613A
ID
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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