Individual provider · Type 1 NPI

Brandt Gruizinga

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1457081978 Active

Practice location

251 E Huron St
Chicago, IL 60611-2908

Mailing address

810 Cheyenne St
Golden, CO 80401-1037

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNA

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457081978

Brandt Gruizinga's National Provider Identifier is 1457081978, issued on Jun 16, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Jun 16, 2022.