Individual
MARY L GRAEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
509 N MADISON ST, BLOOMFIELD, IA 52537-1271
(641) 664-3832
(641) 664-1857
Mailing address
509 N MADISON ST, BLOOMFIELD, IA 52537-1271
(641) 664-3832
(641) 664-1857
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31257
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155812
—
IA
01
—
37876
HEALTH SOLUTIONS
IA
01
—
40065
WELLMARK INC BCBS
IA
01
—
42063106052
JOHN DEERE HEALTH
IA
01
—
G009
TRIWEST
IA
Enumeration date
08/30/2005
Last updated
02/10/2021
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