Individual
MICHAEL W GRABOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845-1715
(260) 484-9611
(260) 484-1004
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01054600A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020050038
MEDICARE RAILROAD
IN
05
—
104435230
—
MI
05
—
200348620
—
IN
05
—
2274766
—
OH
Enumeration date
08/02/2005
Last updated
10/14/2022
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