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Bonnie Grundel, PA-C
NPI 1528036696 · on the registry since 2006
Practice
- Address
- 369 N Main St
Crestview, FL 32536 - Phone
- (850) 398-6963
- Fax
- (850) 398-8277
- Organisation at this address
- Main Street Medical Center
Main Street Medical Center Of Crestview, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-08
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 Florida