Individual
DYLAN GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMCH-A
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
Mailing address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
88002483A
IN
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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