Individual
MR. JASON GRAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4192
(217) 876-8121
Mailing address
6509 DAYBROOK DR, DECATUR, IL 62521-8727
(217) 141-1521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019859041.349810
IL
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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