MR. Frederick Grubstad II
NPI #1477039667 in Campo, California
Provider Information
- NPI Number
- 1477039667
- Entity Type
- Individual
- Name
- MR. Frederick Grubstad II
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jul 11, 2018
- Last Updated
- Jul 18, 2022
Practice Location
- Address
- 1777 BUCKMAN SPRINGS RD
- City
- Campo
- State
- California
- ZIP Code
- 91906-2022
- Phone
- (619) 478-5696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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