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Individual

JUSTIN PAUL GRUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1400 BELLINGER STREET, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
14748
MN
363A00000X
Physician Assistant
544
WY
363A00000X
Physician Assistant
Primary
7515
WI
363AS0400X
Surgical Physician Assistant
544
WY

Other

Enumeration date
06/04/2010
Last updated
11/12/2025
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