IndividualActive
Annalise Gruber
NPI 1043049901 · Specialist · East Grand Forks, MN
Provider details
- NPI number
- 1043049901
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
1547 30th Ave S
Moorhead, MN 56560-5149
Registry dates
- Enumerated
- 2024-07-30
- Last updated
- 2025-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.