Gruber, Walter J

Gruber, Walter J is an sole proprietor health care provider with primary practice located at 555 W Wackerly Street Suite 1500, Midland MI 48640-4712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gruber, Walter J can be contacted via phone (989) 631-8300.

Contact Information

Primary practice address
555 W Wackerly Street Suite 1500 Midland MI 48640-4712
Phone: (989) 631-8300
Fax: (989) 839-8170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X WG038289 Michigan

Profile Details

NPI number 1164440277
LBN Legal business name Gruber, Walter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Oct 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164440277 NPPES
Michigan Other WG038289 BCR LICENSE NUMBER
Michigan MEDICAID 2096083 BCR LICENSE NUMBER

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