Individual
DR. OCTAVIA B GRAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 728-5758
(231) 728-5636
Mailing address
PO BOX 26, MUSKEGON, MI 49443-0026
(231) 728-5758
(231) 728-5636
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301081261
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2099460
—
MI
05
—
4506402
—
MI
Enumeration date
09/27/2006
Last updated
08/12/2024
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