Individual
MR. DEAN MATTHEW GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
826 N PLANKINTON AVE STE 100, MILWAUKEE, WI 53203-1832
(866) 746-3799
(414) 273-5986
Mailing address
4647 N LAKE DR, WHITEFISH BAY, WI 53211-1255
(414) 276-4128
(414) 273-5986
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12973040
WI
Other
Enumeration date
11/02/2005
Last updated
10/23/2012
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