Individual
DR. ROBERT BRYAN GRAVELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3008 EVERGREEN CIR, AMES, IA 50014-4516
(515) 292-5555
Mailing address
3008 EVERGREEN CIR, AMES, IA 50014-4516
(515) 292-5555
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29795
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110460
—
IA
Enumeration date
10/12/2005
Last updated
06/04/2025
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