Individual
BRIAN A GRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 PROGRESS POINT PKWY STE 108, O FALLON, MO 63368-2207
(636) 344-2400
Mailing address
20 PROGRESS POINT PKWY STE 108, O FALLON, MO 63368-2207
(636) 344-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101019
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205144702
—
MO
Enumeration date
08/30/2006
Last updated
02/19/2021
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