Organization
GRABENSTEIN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GRABENSTEIN MD (OWNER)
(931) 552-8010
Entity
Organization
Contact information
Practice address
1822 MEMORIAL DRIVE, CLARKSVILLE, TN 37043
(931) 552-8010
(931) 551-3118
Mailing address
1822 MEMORIAL DRIVE, CLARKSVILLE, TN 37043
(931) 552-8010
(931) 551-3118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3728817
—
TN
01
—
4102303
BLUE CROSS
TN
01
—
4102307
BLUE CROSS GROUP
TN
Enumeration date
11/28/2006
Last updated
07/29/2015
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