Individual
JONATHAN THOMAS GRABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(202) 340-4800
Mailing address
5603 WATERMAN BLVD, APT. 4, SAINT LOUIS, MO 63112-1885
(202) 340-4800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012017804
MO
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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