Male or Other

Axel L. Gruenberg

Peer Specialist in Southfield, MI(View on Map)

Full Name

Axel Lee Gruenberg

NPI Number

1578193827

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/24/2020

Specialties

(Taxonomies)

Code

175T00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

221790 WEST 9 MILE
221790 WEST 9 MILE

City

Southfield
Southfield

State

MI
MI

Postal Code

48033
48033

Country

US
US

Telephone Number

N/A
(248) 372-6800

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/24/2020

Provider Address

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