Individual
MICHAEL G GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1120 15TH ST, ROOM 2144, AUGUSTA, GA 30912-0004
(706) 721-3873
Mailing address
PO BOX 28068, CHATTANOOGA, TN 37424-8068
(877) 899-1033
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
092510
GA
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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