Individual
DR. GEOFFREY RICHES GRAMBAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST, SUITE M-401, KALAMAZOO, MI 49007-5342
(269) 388-5864
(269) 388-5211
Mailing address
601 JOHN ST, SUITE M401, KALAMAZOO, MI 49007-5341
(269) 388-5864
(269) 388-5211
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
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