Individual
KRISTOFER S. GRAVENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1705
(216) 791-3800
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.016404
OH
Other
Enumeration date
05/19/2020
Last updated
07/17/2023
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