Search › Missouri › 122300000X
Talva Grundstrom, D,M,D,
NPI 1023115821 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2022 Williams St
Jefferson City, MO 65109 - Phone
- (573) 634-4414
- Fax
- (573) 634-8385
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri