Individual
MS. CRYSTAL GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
140 24TH ST S, WISCONSIN RAPIDS, WI 54494-1906
(715) 424-1881
Mailing address
140 24TH ST S, WISCONSIN RAPIDS, WI 54494-1906
(715) 424-1881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5914-33
WI
Other
Enumeration date
08/13/2014
Last updated
03/01/2022
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