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Individual

JOHN D GRABER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS : M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00013703
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060025543
RAIL ROAD MEDICARE
WA
01
8052762
IDAHO MEDICAID
WA
05
8263204
WA
01
G464
INDIVIDAUL BLUE SHIELD
WA
01
MD377WA
ALASKA MEDICAID
WA
Enumeration date
02/06/2006
Last updated
06/17/2008
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