Individual
ROBERT JOSEPH GRUCHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNAO
Contact information
Practice address
6200 CHIPPEWA, SAINT LOUIS, MO 63109-2238
(314) 352-6100
(314) 752-3404
Mailing address
6200 CHIPPEWA ST, SAINT LOUIS, MO 63109-2115
(314) 352-6100
(314) 752-3404
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
11078022
MO
Other
Enumeration date
12/27/2007
Last updated
09/12/2008
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