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Individual

HARRY GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, BSN, MSN

Contact information

Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
(734) 845-3835
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
(734) 845-3835

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704180471
MI
163WP2201X
Ambulatory Care Registered Nurse
4704180471
MI

Other

Enumeration date
01/13/2010
Last updated
01/13/2010
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