Individual
MR. MICHAEL ANTHONY GRAULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
511 WALNUT CREEK DR, GOLDSBORO, NC 27534-8997
(919) 338-3604
Mailing address
511 WALNUT CREEK DR, GOLDSBORO, NC 27534-8997
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18046
NC
Other
Enumeration date
09/02/2020
Last updated
11/05/2021
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