Lindsey N Gruenwald, PA-C

NPI #1205437415 in Peoria, Illinois

Provider Information

NPI Number: 1205437415
Entity Type: Individual
Name: Lindsey N Gruenwald, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 4, 2020
Last Updated: Nov 4, 2020

Practice Location

Address: 900 MAIN ST STE 100
City: Peoria
State: Illinois
ZIP Code: 61602-5003
Phone: (309) 671-7772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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