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MICHAEL HOWARD GRAVATT II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 W 1ST ST, WAPATO, WA 98951-1108
(509) 877-4111
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
EC071017
ME
207Q00000X
Family Medicine Physician
Primary
MD60147456
WA

Other

Enumeration date
06/26/2007
Last updated
04/22/2024
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