Individual
MR. PAUL JOHN GRUBNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6000
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE ROOM 310, UTICA, NY 13501-5930
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
02/14/2018
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