Search › Michigan › 224Y00000X

Matthew Gruse, MS, ACSM CEP

NPI 1235949009 · on the registry since 2025

Practice

Address
4646 John R St
Detroit, MI 48201
Phone
(313) 576-1942
Organisation at this address
Detroit Vamc
Detroit Vamc
John D. Dingell Vamc
John D. Dingell Vahcs
Department Of Veteran Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,151

Registry record

Primary taxonomy
224Y00000X
224Y00000X
Also registered as
224Y00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan