Individual
LUANNA GRAEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
437 3RD AVE SE, GARRISON, ND 58540-7235
(701) 463-2245
(701) 463-6543
Mailing address
PO BOX 9, GARRISON, ND 58540-0009
(701) 463-2245
(701) 463-6543
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC0029
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12635
—
ND
01
—
20686
BLUECROSS/BLUE SHIELD
ND
Enumeration date
01/23/2006
Last updated
10/10/2007
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