Individual
DR. MICHAEL GLEN GRAVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4070
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD00016604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8199200
—
WA
Enumeration date
06/08/2006
Last updated
02/03/2009
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