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Individual

MS. ANNE K. GRUBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3301 COUNTY ROAD 6 E, ELKHART, IN 46514-7673
(574) 266-5342
(574) 266-5847
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-3245
(574) 647-1840

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001997A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300067450
IN
Enumeration date
08/03/2016
Last updated
12/16/2024
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