Grube Anesthesia Services, LLC

NPI #1578814422 in Sheboygan, Wisconsin

Provider Information

NPI Number
1578814422
Entity Type
Organization
Organization Name
Grube Anesthesia Services, LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Oct 1, 2012
Last Updated
Oct 11, 2012

Practice Location

Address
2108 KOHLER MEMORIAL DR
Address 2
STE 101
ZIP Code
53081-3100
Phone
(920) 451-8142

Authorized Official

Name
DOUGLAS M GRUBE, CRNA
Title
OWNER
Phone
(715) 652-3219

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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