MEDICARE: NEIL F. GRABENSTETTER MD

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	35045377G	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1689674277	OTHER	OH	INDIV. NPI NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033166913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIL F. GRABENSTETTER MD

Provider Business Mailing Address
First Line	:	6605 CENTER RD
Second Line	:	PO BOX 463
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	:	OWNER
Name	:	DR. NEIL F GRABENSTETTER
Credential	:	M.D.
Telephone Number	:	330-483-3135

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	08/22/2020

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