NPI 1275692675 · live from the CMS NPI Registry
David P Grundman Dpm
Podiatrist in Vincennes, IN. National Provider Identifier 1275692675, active.
NPI record
| NPI | 1275692675 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 902 N 7th Street, Vincennes, IN 47591 |
| Practice phone | 812-882-3312 |
| Mailing address | 902 N 7th Street, Po Box 404, Vincennes, IN 47591 |
| Enumerated | December 8, 2006 |
| Last updated | September 11, 2008 |
| Authorized official | Kathleen Grundman, Business Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 016003243 (IL) |
| Podiatrist primary | 213E00000X | 07000497 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.