Individual
MICHAEL GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111
(812) 256-4686
Mailing address
11718 PERRY CROSSING BLVD, SELLERSBURG, IN 47172
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27063682A
IN
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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