John E Grunow, MD
Pediatrics, Pediatric Gastroenterology in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1679541981
StatusActive
Last updated in NPPESJan 18, 2011
Details
- NPI
- 1679541981
- Entity type
- Individual (NPI-1)
- Name
- John E Grunow
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2006
- Last updated
- Jan 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | 11004 | OK | Yes |
Practice location
1200 N Phillips AveSuite 9500
Oklahoma City, OK 73104-4600
Phone 405-271-6549 · Fax 405-271-7866
Mailing address
1122 Ne 13th StOri236
Oklahoma City, OK 73117-1039
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