Grunsky, Mitchell Robert

Grunsky, Mitchell Robert is an individual health care provider with primary practice located at 325 Broad St Suite 100, Sumter SC 29150-4167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Grunsky, Mitchell Robert can be contacted via phone (803) 773-5227.

Contact Information

Primary practice address
325 Broad St Suite 100 Sumter SC 29150-4167
Phone: (803) 773-5227
Fax: (803) 774-5400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X 25247 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25247 South Carolina

Profile Details

NPI number 1124105010
LBN Legal business name Grunsky, Mitchell Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Feb 14th, 2020 - about 5 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 1124105010 NPPES
South Carolina MEDICAID 252470
South Carolina Other P00142864

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