Individual
DR. JOSEPH M GRAUSGRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4674 40TH AVE S STE B, FARGO, ND 58104-4501
(701) 364-4105
Mailing address
4674 40TH AVE S STE B, FARGO, ND 58104-4501
(701) 364-4105
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1072
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02694600
CAPITAL BC
PA
01
—
20-1808943
TAX ID
PA
01
—
251782835
ASHN
PA
01
—
408566
HIGHMARK
PA
01
—
7433163
AETNA
PA
Enumeration date
11/20/2006
Last updated
09/27/2023
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