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NPI Code Detail

MEDICARE: THOMAS G. GRABENSTEIN M.D.

MEDICARE: THOMAS G. GRABENSTEIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35531KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
135531OTHERKYMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144301086
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS G. GRABENSTEIN M.D.
Provider Business Mailing Address
First Line : PO BOX 277
Second Line :
City : ELKTON
State : KY
Zip : 42220-0277
Country : US
Telephone Number : 270-265-5600
Fax Number : 270-265-5600
Provider Business Practice Location Address
First Line : 810 S MAIN ST
Second Line :
City : ELKTON
State : KY
Zip : 42220-8812
Country : US
Telephone Number : 270-265-5600
Fax Number : 270-265-5605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 10/09/2018

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