| Doctor Name: | BRIAN GROVE |
| NPI Number: | 1306258868 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | GRO-81-7130 |
| Business Practice Address: | 303 N 1st St Strasburg, ND - 585737214 |
| Business Phone Number: | 7013367693 |
| Business Fax Number: | |
| Mailing Address: | Po Box 357, STRASBURG |
| State: | ND |
| Postal Code: | 585730357 |
| Phone Number: | 7013250354 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2014 |
| NPI Last Update Date: | 06/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 172A00000X |
| License Number: | GRO-81-7130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Driver |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |