Individual
JILL MARIE GRUBER-DOWNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 386-2128
(715) 386-6119
Mailing address
483 9TH ST N, BAYPORT, MN 55003-1148
(651) 351-2809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6061
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15665
HEALTH PARTNERS
—
05
—
40357600
—
WI
01
—
6401942
MEDICA
—
01
—
641671046996
PREFERRED ONE
—
01
—
7866381
AETNA
—
01
—
98G57GR
MN BCBS
MN
Enumeration date
09/24/2006
Last updated
07/09/2007
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