Individual
DR. MARTIN IRWIN GRUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
112A PARK ST, NORTH ATTLEBORO, MA 02760-1213
(508) 699-2228
(508) 695-3560
Mailing address
PO BOX 2115, PLAINVILLE, MA 02762
(508) 699-2228
(508) 695-3560
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
983
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1613634
—
MA
Enumeration date
02/12/2007
Last updated
06/06/2018
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