Individual
MR. IAN W GRAULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T., C.
Contact information
Practice address
13220 USF LAUREL DR, MDF 5TH FLOOR, MAIL CODE MDC106, TAMPA, FL 33612
(561) 310-7272
Mailing address
16027 PENWOOD DR, TAMPA, FL 33647-1139
(813) 977-7722
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 876
FL
Other
Enumeration date
07/21/2006
Last updated
10/16/2013
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