| Michael Gruber M D Pc | |
|
903 W Apache St Farmington NM 87401-3802 | |
| (505) 326-5282 | |
| Not Available |
| Full Name | Michael Gruber M D Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 903 W Apache St, Farmington, New Mexico |
| Authorized Official Name and Position | Michael David Gruber (PRESIDENT) |
| Authorized Official Contact | 5053265282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gruber M D Pc 903 W Apache St Farmington NM 87401-3802 Ph: (505) 326-5282 | Michael Gruber M D Pc 903 W Apache St Farmington NM 87401-3802 Ph: (505) 326-5282 |
| NPI Number | 1225155740 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225155740 | NPI | - | NPPES |
| 13911 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9459 (New Mexico) | Primary |
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