Individual
ANDREW D. GRUBIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(412) 359-8820
Mailing address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(412) 359-8820
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS019947
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14441892
CAQH
—
Enumeration date
03/24/2014
Last updated
10/06/2020
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