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Organization

MARK R. GRUBB, MD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK GRUBB MD (OWNER)
(330) 966-9328
Entity
Organization

Contact information

Practice address
4774 MUNSON ST NW, SUITE 302, CANTON, OH 44718-3634
(330) 966-9328
Mailing address
4774 MUNSON ST NW, SUITE 302, CANTON, OH 44718-3634

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
05/04/2007
Last updated
07/12/2007
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