Individual
DERRICK GRAULEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 BOYSON RD, HIAWATHA, IA 52233-2362
(319) 743-7300
(319) 743-7311
Mailing address
1550 BOYSON RD, HIAWATHA, IA 52233-2362
(319) 743-7300
(319) 743-7311
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-48497
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-48497
STATE LICENSE
IA
Enumeration date
03/22/2016
Last updated
05/06/2025
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