Individual
DR. WILLIAM P. GRABENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1822 MEMORIAL DR, CLARKSVILLE, TN 37043-4605
(931) 552-8012
(931) 551-3118
Mailing address
1822 MEMORIAL DR, CLARKSVILLE, TN 37043-4605
(931) 552-8012
(931) 551-3118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD017935
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3728817
MEDICARE PTAN
TN
05
—
3728817
—
TN
01
—
4102307
BLUE CROSS BLUE SHIELD
TN
Enumeration date
06/29/2007
Last updated
07/29/2015
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