Individual
DAVID GRAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2111 MIDLANDS CT, SYCAMORE, IL 60178-3125
(815) 991-2372
Mailing address
7708 E MCGREGOR RD, ROCKFORD, IL 61102-9655
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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