Thomas Grubba Llc | |
24281 Cloverlawn St Oak Park MI 48237-1501 | |
(510) 410-3519 | |
Not Available |
Full Name | Thomas Grubba Llc |
---|---|
Speciality | Counselor - Professional |
Location | 24281 Cloverlawn St, Oak Park, Michigan |
Authorized Official Name and Position | Thomas George Grubba (OWNER) |
Authorized Official Contact | 5104103519 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas Grubba Llc 24281 Cloverlawn St Oak Park MI 48237-1501 Ph: (510) 410-3519 | Thomas Grubba Llc 24281 Cloverlawn St Oak Park MI 48237-1501 Ph: (510) 410-3519 |
NPI Number | 1407553043 |
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Provider Enumeration Date | 02/14/2023 |
Last Update Date | 02/14/2023 |
Certification Date | 02/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407553043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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