Individual
SHANE D GHRAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30881 EKLUTNA LAKE RD, CHUGIAK, AK 99567-5166
(907) 688-1750
Mailing address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/20/2019
Last updated
06/25/2024
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