Kirk Wade Gruber

NPI 1770710345 - Technician - 3747P1801X

NPI Details
NPI 1770710345
Gender Male
Enumeration Date 06/22/2009
Last Updated 06/22/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
5050 BARRIE ST NW
CANTON OH, 44708-5004, US
Phone (330) 479-2161
Fax
Business Location
5050 BARRIE ST NW
CANTON OH, 44708-5004, US
Phone (330) 479-2161
Fax
Toxanomy
Taxonomy Code 3747P1801X
License State
License Number
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According to our database, Kirk Wade Gruber NPI is 1770710345, taxonomy code is 3747P1801X Kirk Wade Gruber physically located at 5050 Barrie St Nw, Canton OH, 44708-5004. NPI Number Kirk Wade Gruber has the Individual type.

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1770710345 NPI number is provided on an as is basis without warranty of any kind. 1770710345 is maintained by the National Plan & Provider Enumeration System. The contents of Kirk Wade Gruber are for informational purposes only.