Individual
DR. MICHELLE LAUREN GRAVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6597
(717) 531-7790
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MA064590
PA
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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