Tamara Kay Gravelle in Detroit - Surgical

Tamara Kay Gravelle - NPI 1932385762

Tamara Kay Gravelle is a Surgical in Detroit, Michigan. Tamara Kay Gravelle practices all healthcare services and medical treatments related to Surgical. The NPI Number for Tamara Kay Gravelle is 1932385762. The last update date is 2022-12-16.

Tamara Kay Gravelle's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139160662. The mailing address for Tamara Kay Gravelle is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Tamara Kay Gravelle
Address 2799 W Grand Blvd, Detroit, Michigan
Phone Number 3139160662
Fax Number
Sole Proprietor Y
Credentials P.A.

NPI Number Detail

NPI Number 1932385762
Provider Enumeration Date 2008-01-10
Last Updated Date 2022-12-16

Provider Mailing Address Detail

Address 2799 W Grand Blvd
City Detroit
State Michigan (MI)
Post Code 482022608
Phone Number 3139160662
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 5601005139
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Tamara Kay Gravelle

What is the unique identification code assigned to Tamara Kay Gravelle by the Centers for Medicare & Medicaid Services?

The Tamara Kay Gravelle has been issued the NPI (National Provider Identifier) 1932385762. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Tamara Kay Gravelle's facilities are situated?

The facilities of Tamara Kay Gravelle are physically located at the following address: 2799 W Grand Blvd, Detroit, MI, 482022608.

What is the Tamara Kay Gravelle's specialty and taxonomy code?

The Tamara Kay Gravelle's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1932385762 to Tamara Kay Gravelle?

The Centers for Medicare & Medicaid Services assigned the 1932385762 to Tamara Kay Gravelle on 2008-01-10.

As of what date were the details related to Tamara Kay Gravelle most recently updated or revised?

The information pertaining to Tamara Kay Gravelle, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-16.

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