Individual
MERRITT BYRON GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 BURDICK EXPY E, MINOT, ND 58701-4768
(701) 857-7382
(701) 857-7342
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3384
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12552
—
ND
Enumeration date
10/10/2006
Last updated
05/24/2012
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