MEDICARE: DR. ALVIN R GRABER 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	01020112A	IN

General Provider Information

NPI Number	:	1801895552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALVIN R GRABER M.D.

Provider Business Mailing Address
First Line	:	357 N NAPPANEE ST
Second Line	:
City	:	NAPPANEE
State	:	IN
Zip	:	46550-1625
Country	:	US
Telephone Number	:	574-773-3141
Fax Number	:	574-773-3143

Provider Business Practice Location Address
First Line	:	357 N NAPPANEE ST
Second Line	:
City	:	NAPPANEE
State	:	IN
Zip	:	46550-1625
Country	:	US
Telephone Number	:	574-773-3141
Fax Number	:	574-773-3143

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

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	02/15/2026

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