Individual
CHADWICK SCOTT GRAVATT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
4704363009
MI
363L00000X
Nurse Practitioner
Primary
4704363009
MI
Other
Enumeration date
08/21/2025
Last updated
11/21/2025
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