Katrina Grunewald

NPI #1467940767 in Waite Park, Minnesota

Provider Information

NPI Number: 1467940767
Entity Type: Individual
Name: Katrina Grunewald
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Apr 23, 2018
Last Updated: Apr 23, 2018

Practice Location

Address: 423 GREAT OAK DR
City: Waite Park
State: Minnesota
ZIP Code: 56387-2507
Phone: (320) 281-5305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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