Individual
THOMAS JOSEPH GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1603 ARDEN AVE, ROCKFORD, IL 61107-2027
(815) 262-3001
(815) 229-2508
Mailing address
1603 ARDEN AVE, ROCKFORD, IL 61107-2027
(815) 262-3001
(815) 229-2508
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2003027199
MO
207L00000X
Anesthesiology Physician
41045
CO
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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