Individual
DR. WILLIAM D GRUZENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 A ST STE 200, ANCHORAGE, AK 99501-5147
(907) 272-2423
(907) 272-2428
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
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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