Individual
MICHAEL J GRUBA
Active
Individual
MICHAEL J GRUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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