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Individual

MICHAEL J GRUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3460 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-6450
Mailing address
3460 E LA PALMA AVE, ANAHEIM, CA 92806-2020

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
108707
CA
2081P0004X
Spinal Cord Injury Medicine Physician
108707
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208980000
MN
Enumeration date
09/28/2006
Last updated
11/29/2021
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