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 |
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Address | 2799 W Grand Blvd, Detroit, Michigan |
Phone Number | 3139160662 |
Fax Number | |
Sole Proprietor | Y |
Credentials | P.A. |
NPI Number Detail
NPI Number | 1932385762 |
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Provider Enumeration Date | 2008-01-10 |
Last Updated Date | 2022-12-16 |
Provider Mailing Address Detail
Address | 2799 W Grand Blvd |
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City | Detroit |
State | Michigan (MI) |
Post Code | 482022608 |
Phone Number | 3139160662 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | 5601005139 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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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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