Individual
DR. MITCHELL J GRUICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Contact information
Practice address
2356 PASS RD, SUITE 300, BILOXI, MS 39531-2236
(228) 385-1711
(228) 385-3333
Mailing address
2356 PASS RD, SUITE 300, BILOXI, MS 39531-2236
(228) 385-1711
(228) 385-3333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13525
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115028
—
MS
Enumeration date
08/30/2006
Last updated
07/08/2007
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