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Individual

DR. PETER GRUBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-6389
(541) 222-6385
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7600
(515) 222-7601

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
4301113746
MI
207RG0100X
Gastroenterology Physician
MD-44630
IA
207RG0100X
Gastroenterology Physician
Primary
MD213472
OR
207RG0100X
Gastroenterology Physician
ME84033
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268086600
FL
Enumeration date
10/12/2005
Last updated
04/28/2023
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