Individual
MR. DOUGLAS M GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA/APNP
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
35223
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
372
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43284400
—
WI
Enumeration date
06/03/2006
Last updated
03/11/2024
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