Individual
DR. MELINDA J GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
92 W CHRISTMAS BLVD, SANTA CLAUS, SANTA CLAUS, IN 47579-6044
(812) 937-4120
(812) 937-7074
Mailing address
PO BOX 1028, JASPER, JASPER, IN 47547-1028
(812) 996-0410
(812) 996-8497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045418
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200137470
—
IN
01
—
P00312747
RAILROAD MEDICARE
IN
Enumeration date
05/31/2006
Last updated
11/26/2014
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