Individual provider · Type 1 NPI

Paul John Grubner Jr., PA

Surgical Physician Assistant · Utica, NY

NPI number 1093223760 Active

Practice location

1656 Champlin Ave
Utica, NY 13502-4830

Mailing address

2209 Genesee Street, Business Office Room 310
Utica, NY 13501-5930

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1093223760

Paul John Grubner Jr., PA's National Provider Identifier is 1093223760, issued on Jan 16, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Utica, NY. The record was last updated on Feb 14, 2018.