Organization
MICHAEL E GRUBER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E GRUBER MD PC (PHYSICIAN)
(989) 892-6587
Entity
Organization
Contact information
Practice address
200 S WENONA ST, BAY CITY, MI 48706-8820
(989) 892-6587
(989) 892-3140
Mailing address
200 S WENONA ST, BAY CITY, MI 48706-8820
(989) 892-6587
(989) 892-3140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Z91190
BCBSM GROUP
MI
01
—
MG036542
BCBSM LICENSE NUMBER
MI
Enumeration date
09/11/2007
Last updated
12/20/2009
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