Mr. Frederick Grubstad II
Mr. Frederick Grubstad II is a Psychiatric/Mental Health Nurse Practitioner in Campo, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
1777 Buckman Springs RdCampo, CA 91906-2022
Phone: (619) 478-5696
Fax: (619) 478-2404
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95019498 (CA) |
|---|
Record details
| NPI number | 1477039667 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2018 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | July 18, 2022 |
| Mailing address | 14360 Rios Canyon Rd Spc 76, El Cajon, CA 92021-2735 |