Individual
DR. PAUL J GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5700 MEXICO RD STE 14, SAINT PETERS, MO 63376-1667
(636) 277-0371
(636) 447-4161
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2019029136
MO
207N00000X
Dermatology Physician
35.133142
OH
207ND0101X
MOHS-Micrographic Surgery Physician
2019029136
MO
Other
Enumeration date
04/01/2014
Last updated
08/16/2023
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