Healthcare Provider Details

I. General information

NPI: 1124240858
Provider Name (Legal Business Name): AMBER M. GRUBER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/10/2025
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 TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101016902
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number5101016902
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: