Individual
RONALD WILLIAM GRAEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 N 12TH ST STE 100, MAHASKA HEALTH PARTNERSHIP, OSKALOOSA, IA 52577-2495
(641) 672-3360
(641) 672-3366
Mailing address
410 N 12TH ST STE 100, MAHASKA HEALTH PARTNERSHIP, OSKALOOSA, IA 52577-2495
(641) 672-3360
(641) 672-3366
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
30479
IA
2080P0214X
Pediatric Pulmonology Physician
30479
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155838
—
IA
01
—
030004043
RAILROAD MEDICARE
—
01
—
42068106049
JOHN DEERE HEALTH
—
01
—
55920
IOWA HEALTH SOLUTIONS
—
01
—
59902
WELLMARK BCBS
IA
01
—
H002
TRIWEST
—
Enumeration date
08/30/2005
Last updated
12/24/2012
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