Individual
KAREN J GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1519 BROKEN OAK COURT, LINO LAKES, MN 55038-9603
(651) 402-9328
Mailing address
1519 BROKEN OAK CT, LINO LAKES, MN 55038-9603
(651) 402-9328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0867434
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457218100
—
MN
Enumeration date
09/22/2006
Last updated
12/13/2016
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