Gruwell, Mark Louis

Gruwell, Mark Louis is an individual health care provider with primary practice located at 2341 Mccallie Ave Suite 402, Chattanooga TN 37404-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gruwell, Mark Louis can be contacted via phone (423) 698-3309.

Contact Information

Primary practice address
2341 Mccallie Ave Suite 402 Chattanooga TN 37404-3239
Phone: (423) 698-3309
Fax: (423) 624-6355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD17937 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD30778 Georgia

Profile Details

NPI number 1669447876
LBN Legal business name Gruwell, Mark Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Sep 26th, 2013 - about 13 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 1669447876 NPPES
Tennessee Other 2006211 BCBS
Tennessee MEDICAID 3028391 BCBS

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