Individual
MR. DENNIS MICHAEL GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
916 KING ROAD, ASHLAND UNIVERSITY, ASHLAND, OH 44805
(419) 289-5460
(419) 289-5460
Mailing address
241 SAMARITAN AVE, ASHLAND, OH 44805-3823
(419) 207-0939
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000057
OH
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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