Individual
DR. WILLIAM D GRUZENSKY
Active
Individual
DR. WILLIAM D GRUZENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD00036987
WA
207W00000X
Ophthalmology Physician
Primary
MEDS3011
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012439
—
AK
05
—
1024009
—
WA
01
—
180035935
RAIL ROAD MEDICARE
WA
01
—
180036475
RAIL ROAD MEDICARE
ID
01
—
180036476
RAIL ROAD MEDICARE
ID
01
—
180037541
RAIL ROAD MEDICARE
AK
01
—
180041022
RAIL ROAD MEDICARE
OR
01
—
180044160
RAIL ROAD MEDICARE
MT
05
—
1992812234
—
MT
05
—
1992812234
—
OR
05
—
50180070
—
NM
Enumeration date
08/24/2006
Last updated
11/20/2020
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