Individual
MICHAEL J. GRUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
148 BILL CARRUTH PKWY STE 200, HIRAM, GA 30141
(678) 741-5000
(770) 445-9013
Mailing address
711 CANTON RD NE STE 300, MARIETTA, GA 30060-8949
(678) 741-5000
(678) 819-4280
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
060588
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483829670C
—
GA
Enumeration date
07/10/2007
Last updated
05/31/2018
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