Individual
JACOB SCOTT GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 S TRIMBLE RD, MANSFIELD, OH 44906-3428
(419) 566-4653
Mailing address
1020 S TRIMBLE RD, MANSFIELD, OH 44906-3428
(419) 566-4653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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