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Individual

MARK R GRUBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 ALLEN BRADLEY DR, CLEVELAND, OH 44124-6130
(330) 865-6956
Mailing address
150 SPRINGSIDE DR, SUITE B 225, AKRON, OH 44333-2468
(330) 865-6956
(330) 865-6972

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-081466-G
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2335039
OH
01
P00064176
RAILROAD MEDICARE
Enumeration date
08/19/2005
Last updated
06/15/2024
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