| NPI | 1699654798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HANS GRUENBERGER Physician 443-812-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 207X00000X Orthopaedic Surgery | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-11-13 |