MEDICARE: RONALD E GRAESER DO

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	RG006295	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00004279	OTHER	MI	RAILROAD MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010F476090	OTHER	MI	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5700059	OTHER	MI	BCBS PIN NUMBER

General Provider Information

NPI Number	:	1922030063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD E GRAESER DO

Provider Business Mailing Address
First Line	:	611 E MAIN ST
Second Line	:
City	:	HART
State	:	MI
Zip	:	49420-1190
Country	:	US
Telephone Number	:	231-873-5675
Fax Number	:	231-873-3448

Provider Business Practice Location Address
First Line	:	611 E MAIN ST
Second Line	:
City	:	HART
State	:	MI
Zip	:	49420-1190
Country	:	US
Telephone Number	:	231-873-5675
Fax Number	:	231-873-3448

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1093710675 — HART FAMILY MEDICAL ASSOCIATES PC
Practice Location Address:

611 EAST MAIN ST
HART, MI
49420-1190

Practice Phone: 231-873-5675
Practice Fax: 231-873-4805

1811926744 — CYNTHIA OCHS DO
Practice Location Address:

611 E MAIN ST
HART, MI
49420-1190

Practice Phone: 231-873-5675
Practice Fax: 231-873-1825

1689605230 — ANN MARIE BLACKTOP LMSW
Practice Location Address:

611 E MAIN ST
HART, MI
49420-1190

Practice Phone: 231-873-5675
Practice Fax: 231-873-4805

1962434043 — PAUL A WAGNER DO
Practice Location Address:

611 EAST MAIN ST
HART, MI
49420-1190

Practice Phone: 231-873-5675
Practice Fax: 231-873-1825

1093816316 — DR. MIKE KOZMINSKI M.D.
Practice Location Address:

611 E MAIN ST
HART, MI
49420-1190

Practice Phone: 231-873-6900
Practice Fax: 231-873-1825

1972734200 — MERCY HEALTH PARTNERS
Practice Location Address:

611 E MAIN ST
HART, MI
49420-1190

Practice Phone: 231-873-5675
Practice Fax: 231-873-1825

Directions to “ RONALD E GRAESER DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.