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Individual

MARTIN ALAN GRABER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, STE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA09101900
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD026696E
PA

Other

Enumeration date
01/17/2006
Last updated
08/15/2013
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