Healthcare Provider Details

I. General information

NPI: 1013761584
Provider Name (Legal Business Name): LIFE IN BALANCE OSTEOPATHIC MEDICAL CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 09/02/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2565 S ROCHESTER RD STE 108B
ROCHESTER HILLS MI
48307-4472
US

IV. Provider business mailing address

2565 S ROCHESTER RD STE 108B
ROCHESTER HILLS MI
48307-4472
US

V. Phone/Fax

Practice location:
  • Phone: 586-465-2308
  • Fax: 586-261-5452
Mailing address:
  • Phone: 586-465-2308
  • Fax: 586-261-5452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State

VIII. Authorized Official

Name: AMBER MARIE GRUBER
Title or Position: OWNER/PHYSICIAN
Credential: DO
Phone: 586-465-2308