NPI 1619345477

Mary Grussendorf

Practitioner Case Manager/Care Coordinator Evansville, WY

Practice location

Address: 721 Reshaw Cir, Evansville, WY 82636-9410
Phone: (307) 277-5401

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 108766882 (WY)

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Registry record

NPI: 1619345477
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2015
Record last updated: 10 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.