Tamara Kay Gravelle P.A.

NPI 1932385762 - Physician Assistant - 363AS0400X

NPI Details
NPI 1932385762
Gender Female
Enumeration Date 01/10/2008
Last Updated 06/23/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
2799 W GRAND BLVD
TRANSPLANT INSTITUTE UNIT H6
DETROIT MI, 48202-2608, US
Phone (313) 916-0662
Fax
Business Location
2818 BRECKENRIDGE DR
BRIGHTON MI, 48114-9474, US
Phone (810) 225-8335
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Michigan
License Number 5601005139
Remove 1932385762 NPI Number
 

According to our database, Tamara Kay Gravelle P.A. NPI is 1932385762, taxonomy code is 363AS0400X and license number is 5601005139, license state is located at Michigan. Tamara Kay Gravelle P.A. physically located at 2799 W Grand Blvd, Detroit MI, 48202-2608. NPI Number Tamara Kay Gravelle P.A. has the Individual type.

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1932385762 NPI number is provided on an as is basis without warranty of any kind. 1932385762 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara Kay Gravelle P.A. are for informational purposes only.