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Individual

DR. DAVID W. GRAYBILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2610 ENTERPRISE DR, ANDERSON, IN 46013-9684
(765) 683-4400
(765) 213-3713
Mailing address
PO BOX 1643, MUNCIE, IN 47308-1643
(765) 284-7738
(765) 213-3713

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01041279A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000174516
ANTHEM PIN
IN
05
100173140
IN
01
200039362
MEDICARE RAILROAD
IN
Enumeration date
07/31/2006
Last updated
01/22/2014
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