Individual
AMY GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35082636
OH
208000000X
Pediatrics Physician
Primary
35082636
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221210
UNISON
OH
01
—
000000526047
ANTHEM
OH
05
—
1015709030001
—
PA
01
—
2421632
BCMH
OH
05
—
2421632
—
OH
01
—
363590
WELLCARE
OH
01
—
745909
BUCKEYE
OH
01
—
7789768
AETNA
OH
Enumeration date
06/13/2006
Last updated
12/21/2020
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