| NPI | 1053581009 |
|---|---|
| Doing Business As | GRUEN PODIATRY |
| Entity Type | Organization |
| Authorized Contact | TRACY MARCOTTE Office Manager 706-216-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2024-04-26 |