Individual
MICHAEL GRATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1555 ELM ST, MANCHESTER, NH 03101-1203
(603) 668-4111
(603) 628-7757
Mailing address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
(603) 628-7757
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
073065-21
NH
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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