Individual
DR. MICHAEL GRUTTADAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1081 LONG POND RD, SUITE 130, ROCHESTER, NY 14626-5002
(585) 723-3630
Mailing address
3400 AUTUMN WOOD DR, MACEDON, NY 14502-8700
(315) 538-8405
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
006156
NY
213ES0131X
Foot Surgery Podiatrist
6156
NY
Other
Enumeration date
04/26/2006
Last updated
06/29/2023
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