Individual
DR. BRIAN MICHAEL GRAWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-8690
(513) 475-7593
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 595-5506
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35-123937
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105612
—
OH
Enumeration date
06/26/2008
Last updated
12/05/2017
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