Individual
RICHARD L GRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 N 6TH ST, #4466, EMERY, SD 57332-2124
(970) 778-0885
Mailing address
411 N 6TH ST, #4466, EMERY, SD 57332-2124
(970) 778-0885
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME57631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063332100
—
FL
01
—
10641
BCBS
FL
Enumeration date
08/31/2006
Last updated
09/03/2016
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