Individual
JARED GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2380 CEDAR ST STE 100, HOLT, MI 48842-2210
(517) 742-4900
(517) 699-2901
Mailing address
16065 FISH LAKE RD, HOLLY, MI 48442-8346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56011630
MI
Other
Enumeration date
12/08/2021
Last updated
08/10/2023
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