Individual
DR. GEOFFREY RICHES GRAMBAU
Active
Individual
DR. GEOFFREY RICHES GRAMBAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
GG035172
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114393
GRT LKS HLTH PLAN
—
05
—
1386427
—
MI
01
—
290009377
RAILROAD MEDICARE
MI
01
—
290394238
BCBS IND PIN
—
01
—
290C913410
BCBS GRP PIN
—
01
—
290C96034
BC/BS OF MICHIGAN
MI
01
—
382356205107
COMMUNITY CHOICE OF MICH
MI
01
—
4379439
AETNA
—
01
—
4809117
PHP
—
01
—
4830052
PHP
MI
01
—
P64591
BLUECARE NETWORK
MI
Enumeration date
09/12/2006
Last updated
11/27/2023
Update your record
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