Individual
THOMAS V GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 778-2600
Mailing address
2210 BARRON RD, POPLAR BLUFF, MO 63901-1908
(573) 686-1400
(573) 686-5180
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01026242A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
W100012003
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100414570A
—
IN
Enumeration date
06/08/2006
Last updated
08/31/2020
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