Individual
STEPHEN GRUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ROSARY DR, CORNING, IA 50841-1683
(641) 322-5245
(641) 322-4687
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25322
IA
Other
Enumeration date
01/11/2007
Last updated
07/20/2011
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