Individual
ADRIANA ELISE GRUBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
22318 FORD RD, DEARBORN HEIGHTS, MI 48127-2421
(313) 278-2788
Mailing address
8742 W PARK RIDGE CIR, NEWPORT, MI 48166-9289
(745) 775-7189
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704341112
MI
Other
Enumeration date
10/06/2020
Last updated
07/08/2022
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