Jane Gruenke, R.PH.
Individual provider Active NPI Pharmacist · Ironwood, MI
NPI 1659972107 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1659972107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302024263 (MI)
- Practice address
- N10305 Country Club Rd
Ironwood, MI 49938-9627 - Phone
- (906) 932-4191
- NPI assigned
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302024263 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302024263 | MI | Yes |
Addresses
Primary practice location
N10305 Country Club Rd
Ironwood, MI 49938-9627
Mailing address
E7220 Parker LN
Bessemer, MI 49911-9719
Phone (906) 364-3080
Other providers in Ironwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.