Doctor Name: | BRUCE NORMAN GRUENEWALD |
NPI Number: | 1891776282 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CST/CFA |
License Number: | 00F-116 |
Business Practice Address: | 555 N Arlington Ave Reno, NV - 895034724 |
Business Phone Number: | 7757863040 |
Business Fax Number: | 7757861358 |
Mailing Address: | 555 N Arlington Ave, RENO |
State: | NV |
Postal Code: | 895034724 |
Phone Number: | 7757863040 |
Fax Number: | 7757861358 |
NPI Enumeration Date: | 11/11/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 00F-116 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NV |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |