Individual
STEPHANIE A GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
8433 HARCOURT RD, SUITE 100, INDIANAPOLIS, IN 46260-2190
(317) 583-7702
(317) 583-7601
Mailing address
8433 HARCOURT RD, SUITE 100, INDIANAPOLIS, IN 46260-2190
(317) 583-7702
(317) 583-7601
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
125727
IN
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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