Individual
GUY MICHAEL GRABAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-4570
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4570
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2011040031
MO
207RP1001X
Pulmonary Disease Physician
Primary
2011040031
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100134240K
—
KS
01
—
110116008
MEDICARE PTAN
KS
Enumeration date
06/15/2005
Last updated
03/06/2024
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