Glenn E. Graves in Cudahy - Glaucoma Specialist
Glenn E. Graves - NPI 1780671677
Glenn E. Graves is a Glaucoma Specialist in Cudahy, Wisconsin. Glenn E. Graves practices all healthcare services and medical treatments related to Glaucoma Specialist. The NPI Number for Glenn E. Graves is 1780671677. The last update date is 2019-03-05.
Glenn E. Graves's current location address is 6020 S Packard Ave, Cudahy, Wisconsin. You can contact this provider via phone number 4142944660 and fax number 4142810959. The mailing address for Glenn E. Graves is 6020 S Packard Ave, Cudahy, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn E. Graves |
|---|---|
| Address | 6020 S Packard Ave, Cudahy, Wisconsin |
| Phone Number | 4142944660 |
| Fax Number | 4142810959 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780671677 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2019-03-05 |
Provider Mailing Address Detail
| Address | 6020 S Packard Ave |
|---|---|
| City | Cudahy |
| State | Wisconsin (WI) |
| Post Code | 531103028 |
| Phone Number | 4142944660 |
| Fax Number | 4142810959 |
Provider's Primary Taxonomy Detail
| Speciality | Glaucoma Specialist |
|---|---|
| Taxonomy | 207Wx0009X |
| Licence No | 27890-020 |
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Definition: An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180020621 | WI | RR MEDICARE | |
| 391484998011 | WI | BLUE CROSS | |
| 31485900 | WI | -- | |
| 391484998C | WI | HUMANA | |
| 800065 | WI | PRIMECARE | |
| 391484998 | WI | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Glenn E. Graves by the Centers for Medicare & Medicaid Services?
The Glenn E. Graves has been assigned the NPI (National Provider Identifier) 1780671677. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Glenn E. Graves?
The Glenn E. Graves is physically situated at 6020 S Packard Ave, in the city of Cudahy, state of WI, with the postal code 531103028.
What is Glenn E. Graves's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Glenn E. Graves is Glaucoma Specialist, and the taxonomy classification code that categorizes this area of expertise is 207Wx0009X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780671677 to Glenn E. Graves?
The Glenn E. Graves received its 1780671677 assignment from the Centers for Medicare & Medicaid Services on 2005-10-05.
When was the information related to Glenn E. Graves most recently updated or refreshed?
The details pertaining to the Glenn E. Graves, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-03-05.
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