Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES J GRUICH, M.D.
Active Sole ProprietorDR. CHARLES J GRUICH, M.D. is a Physical Disabilities Residential Treatment Facility healthcare provider located in BILOXI, Mississippi. NPI 1457436347 is currently active in the NPPES registry. Verify at CMS.
Physical Disabilities Residential Treatment Facility · BILOXI, MS
Registration Details
- NPI Number
- 1457436347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2006 (19.617428748187 yrs)
- Last Updated
- Mar 7, 2023
- License
-
08349 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2356 PASS RDSUITE 100BILOXI, MS, 395312236Browse MS providers · Browse ZIP 39531
- Phone
- 2283887080
- Fax
- 2283887493
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.