Individual
DAVID MATTHEW GRAZAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
721 E COURT ST, PARIS, IL 61944-2460
(217) 465-4141
(217) 463-2769
Mailing address
700 E WOOD ST, PARIS, IL 61944-1959
(217) 466-6695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-217094
IL
163WP0000X
Pain Management Registered Nurse
209-002477
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209-002477
IL
Other
Enumeration date
07/26/2006
Last updated
01/21/2014
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