Gruenzel, Andrew

Gruenzel, Andrew is an sole proprietor health care provider with primary practice located at 5105 Som Center Rd #202 , Willoughby OH 44094. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Gruenzel, Andrew can be contacted via phone (440) 953-5760.

Contact Information

Primary practice address
5105 Som Center Rd #202 Willoughby OH 44094
Phone: (440) 953-5760
Fax: (440) 953-5761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 35.145712 Ohio

Profile Details

NPI number 1548793177
LBN Legal business name Gruenzel, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2017
Last updated Jun 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548793177 NPPES
Ohio MEDICAID 0224048

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