Individual
MARK ALAN GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(318) 356-6360
(319) 384-9184
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(318) 356-6360
(319) 384-9184
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28741
IA
207Q00000X
Family Medicine Physician
28741
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093088
—
IA
01
—
18252
WELLMARK BCBS
IA
01
—
56077
WELLMARK BCBS
IA
Enumeration date
12/13/2005
Last updated
12/04/2007
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