DEAN GRAVLIN, M.D.
Internal Medicine
Active
Individual
NPI: 1053315861
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 036057930 (IL) |
Frequently Asked Questions
NPI 1053315861 is the National Provider Identifier for DEAN GRAVLIN, M.D., a Internal Medicine provider located in Peoria, IL. This NPI was enumerated on June 9, 2005.
DEAN GRAVLIN, M.D. practices at 200 E PENNSYLVANIA AVE, STE 105, Peoria, IL 61603.
Quick Facts
- NPI
- 1053315861
- Type
- Individual
- Enumerated
- Jun 9, 2005
- Last Updated
- Aug 17, 2012
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