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Individual
DR. CHARLES J GRUICH
Active
Individual
DR. CHARLES J GRUICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
08349
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08349
LIC.#
MS
Enumeration date
10/26/2006
Last updated
03/07/2023
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