MEDICARE: DR. NEIL FRANCES GRABENSTETTER 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
1	207Q00000X	Family Medicine Physician	35045377	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689674277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEIL FRANCES GRABENSTETTER M.D.

Provider Business Mailing Address
First Line	:	6605 CENTER RD
Second Line	:
City	:	VALLEY CITY
State	:	OH
Zip	:	44280-9748
Country	:	US
Telephone Number	:	330-483-3135
Fax Number	:	330-483-3878

Provider Business Practice Location Address
First Line	:	6605 CENTER RD
Second Line	:
City	:	VALLEY CITY
State	:	OH
Zip	:	44280-9748
Country	:	US
Telephone Number	:	330-483-3135
Fax Number	:	330-483-3878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	08/08/2011

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