Grund, Bruce Mark
Grund, Bruce Mark is an individual health care provider with primary practice located at 248 Blymyer Ave , Mansfield OH 44903-2306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grund, Bruce Mark can be contacted via phone (419) 524-2212.Contact Information
Primary practice address
248 Blymyer Ave
Mansfield OH 44903-2306
Phone: (419) 524-2212
Fax: (419) 524-9040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-058310 | Ohio |
Profile Details
| NPI number | 1801894498 |
|---|---|
| LBN Legal business name | Grund, Bruce Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jan 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801894498 | NPPES |
| Ohio | MEDICAID | 0740872 |
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