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Search › Indiana › 104100000X

Brian Grubb, LSW

NPI 1437339298 · on the registry since 2007

Practice

Address
909 E State Blvd
Fort Wayne, IN 46805
Phone
(260) 481-2700
Fax
(260) 481-2717
Organisation at this address
Park Center Inc
Park Center Inc
Park Center, Inc.
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
274

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana