Individual
GERARD ALLAN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1510 STATE STREET, VEAZIE, ME 04401
(207) 947-9200
(207) 947-9244
Mailing address
1510 STATE STREET, VEAZIE, ME 04401
(207) 947-9200
(207) 947-9244
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1176
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247470099
—
ME
Enumeration date
08/05/2006
Last updated
10/02/2009
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