Individual
DEBRA JOAN GRAMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1205 GRAMPIAN BLVD, SUITE3-C, WILLIAMSPORT, PA 17701-1978
(570) 326-4118
(570) 326-5533
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051910
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221893
MDICARE GROUP MEMBER PTAN
PA
Enumeration date
11/05/2008
Last updated
03/12/2013
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