Individual
THOMAS GRAWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6455
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
64391
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376962142
—
WI
Enumeration date
04/09/2014
Last updated
05/10/2018
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