Provider Demographics
NPI:1831174309
Name:GRUNFELD, STEVEN M (DPM)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:GRUNFELD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 ST. VINCENT'S DRIVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1641
Mailing Address - Country:US
Mailing Address - Phone:205-324-8511
Mailing Address - Fax:205-314-8551
Practice Address - Street 1:1985 ALABAMA HWY 157
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058
Practice Address - Country:US
Practice Address - Phone:256-739-1912
Practice Address - Fax:256-739-8306
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL61213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL70700Medicaid
AL70700Medicaid
T68878Medicare UPIN