Individual
DR. MARTIN PANCZEL GRAUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 382-5076
Mailing address
16055 VENTURA BLVD STE 1120, ENCINO, CA 91436-2612
(304) 382-5076
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27830
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A47960
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
03/23/2013
Last updated
03/17/2018
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