Individual provider · Type 1 NPI

Michael K. Grugan, PA

Surgical Physician Assistant · Schenectady, NY

NPI number 1811915903 Active

Practice location

1101 Nott St
Schenectady, NY 12308-2425

Call (518) 243-4000 Map

Mailing address

1462 Erie Blvd, Suite 2
Schenectady, NY 12305-1026

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X000486 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1811915903

Michael K. Grugan, PA's National Provider Identifier is 1811915903, issued on Jul 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Schenectady, NY. The record was last updated on Jul 14, 2007.