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Contact Information

DARLENE Y GRUETTER, MD
3200 MACCORKLE AVENUE SE
PATHOLOGY DEPARTMENT
CHARLESTON, WV25304
 Phone: 304-388-5550
 Fax: 304-388-4352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DARLENE Y GRUETTER · (Female)

NPI Number 1205839800
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2005
Last updated 12/23/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 16894
  • KY Medicaid 64700537
  • WV Medicaid 0102729000
Hospital affiliation(s)
  • CHARLESTON AREA MEDICAL CENTER - (Acute Care)
    501 MORRIS STREET
    CHARLESTON, WV 25301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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