Individual
MR. FREDERICK GRUBSTAD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906-2022
(619) 478-5696
(619) 478-2404
Mailing address
14360 RIOS CANYON RD SPC 76, EL CAJON, CA 92021-2735
(619) 249-3746
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019498
CA
Other
Enumeration date
07/11/2018
Last updated
07/18/2022
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