Individual
TIMOTHY ALAN GRAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1234
Mailing address
415 E 85TH ST APT 4D, NEW YORK, NY 10028-6354
(908) 507-5976
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23782
WV
Other
Enumeration date
06/27/2008
Last updated
12/02/2017
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