Individual
GLENN E GRAYBEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SUSSEX AVE, MILFORD, DE 19963-1853
(302) 422-3377
(302) 422-9580
Mailing address
1 SUSSEX AVE, PO BOX 929, MILFORD, DE 19963-1853
(302) 422-3377
(302) 422-9580
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C10002212
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000049201
—
DE
Enumeration date
07/08/2005
Last updated
10/27/2011
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