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Individual
ANDREW C GRUPA
Active
Individual
ANDREW C GRUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14129
WI
225100000X
Physical Therapist
Primary
8100
MN
Other
Enumeration date
07/15/2008
Last updated
06/05/2019
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