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Contact Information

DOUGLAS C GRUZD, MD
1201 NE ELM
PRINEVILLE, OR97754
 Phone: 541-447-6254
 Fax: 541-447-2511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DOUGLAS C GRUZD · (Male)

NPI Number 1043246069
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2006
Last updated 04/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD24514
  • OR Medicaid 227046
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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