NPI 1457436347

Charles J Gruich, MD

Practitioner Physical Disabilities Residential Treatment Facility Biloxi, MS

Practice location

Address: 2356 Pass Rd Suite 100, Biloxi, MS 39531-2236
Phone: (228) 388-7080
Fax: (228) 388-7493

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 08349 (MS)

Other Residential Treatment Facility, Physical Disabilities providers in Mississippi →

Registry record

NPI: 1457436347
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.