Individual
MARILYN F. GRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
10557
MT
208M00000X
Hospitalist Physician
8742023-1205
UT
208M00000X
Hospitalist Physician
M-14661
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000097204
BCBS PIN
MT
01
—
000097205
BCBS PI
MT
01
—
0068770
MDCD PIN
MT
Enumeration date
07/20/2006
Last updated
04/23/2019
Update your record
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