John Grauke in Moscow - Sleep Medicine

John Grauke - NPI 1912008079

John Grauke is a Sleep Medicine in Moscow, Idaho. John Grauke practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for John Grauke is 1912008079. The last update date is 2019-03-29.

John Grauke's current location address is 700 S Main St, Moscow, Idaho. You can contact this provider via phone number 2088836359 and fax number 2088836580. The mailing address for John Grauke is 700 S Main St, Moscow, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name John Grauke
Address 700 S Main St, Moscow, Idaho
Phone Number 2088836359
Fax Number 2088836580
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912008079
Provider Enumeration Date 2006-09-25
Last Updated Date 2019-03-29

Provider Mailing Address Detail

Address 700 S Main St
City Moscow
State Idaho (ID)
Post Code 838433046
Phone Number 2088836359
Fax Number 2088836580

Provider's Primary Taxonomy Detail

Speciality Sleep Medicine
Taxonomy 207Qs1201X
Licence No M-6614
Definition:
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3705100 ID --
80067036 ID RAILROAD MEDICARE

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FAQs about John Grauke

What is the John Grauke's 1912008079?

The John Grauke's NPI (National Provider Identifier) Number is 1912008079. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where John Grauke's facilities are situated?

The facilities of John Grauke are physically located at the following address: 700 S Main St, Moscow, ID, 838433046.

What is John Grauke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John Grauke is Sleep Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs1201X.

On what date did the John Grauke receive its 1912008079 assignment from the Centers for Medicare & Medicaid Services?

The John Grauke was assigned its 1912008079 by the Centers for Medicare & Medicaid Services on 2006-09-25.

When was the information pertaining to John Grauke most recently updated or revised?

The details related to John Grauke, including its address, specialty, and other relevant information, were last updated or revised on 2019-03-29.

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