Matthew Phillip Grunewald, RDN | |
25012 104th Ave Se Ste C, Kent, WA 98030-2821 | |
(253) 856-3477 | |
(253) 856-3478 |
Full Name | Matthew Phillip Grunewald |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 25012 104th Ave Se Ste C, Kent, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487112272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DI60675580 (Washington) | Primary |
Provider Name | Kaiser Foundation Health Plan Of Washington |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
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Matthew Phillip Grunewald, RDN 125 16th Ave E, Seattle, WA 98112-5211 Ph: (206) 326-3000 | Matthew Phillip Grunewald, RDN 25012 104th Ave Se Ste C, Kent, WA 98030-2821 Ph: (253) 856-3477 |
Rebecca A Leslie, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1404 Central Ave S, Suite 112, Kent, WA 98032 Phone: 206-205-1940 Fax: 206-205-5499 | |
Erin Phillips Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6642 S 193rd Pl Ste N106, Kent, WA 98032 Phone: 707-247-8226 | |
Edith Shreckengast, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25012 104th Ave Se Ste C, Kent, WA 98030 Phone: 253-856-3477 | |
Mrs. Donna L Maher, MS RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 24528 147th Ave Se, Kent, WA 98042 Phone: 425-235-7815 Fax: 425-235-7832 | |
Kelly Martin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6642 S 193rd Pl Ste N106, Kent, WA 98032 Phone: 206-486-4867 | |
Marisol Thomas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 233 2nd Ave S, Kent, WA 98032 Phone: 206-436-6360 | |
Ms. Suzanne Baily, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6852 S 220th St, Kent, WA 98032 Phone: 253-872-3460 Fax: 253-872-3448 |