Individual
CHARLES JACOB GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 S PINE, #303, NEWTON, KS 67114-3543
(316) 283-0033
Mailing address
215 S PINE, SUITE 303, NEWTON, KS 67114-3543
(316) 283-0033
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
417578
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100825
—
KS
Enumeration date
08/31/2006
Last updated
07/08/2007
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