Individual
THOMAS R GRAVELYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5333 MCAULEY DR, SUITE 3111, YPSILANTI, MI 48197-1014
(734) 712-7688
(734) 712-7056
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
TG044869
MI
207RP1001X
Pulmonary Disease Physician
TG044869
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4301044869
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423968610
—
MI
Enumeration date
03/24/2006
Last updated
03/10/2026
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