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Michael Stefan Gravenstein, MD
Student in an Organized Health Care Education/Training Program in Gainesville, Florida
NPI 1093395303

Michael Stefan Gravenstein is a Student in an Organized Health Care Education/Training Program based in Gainesville, FL. Michael Stefan Gravenstein practices in Gainesville, FL and has the professional credentials of MD. The NPI Number for Michael Stefan Gravenstein is 1093395303 and holds a License No. (Florida).

The current practice location address for Michael Stefan Gravenstein is 4101 Nw 89Th Blvd Rm 1788, Gainesville, FL and can be reached out via phone at 352-265-2862.

Location: 4101 Nw 89Th Blvd Rm 1788, Gainesville, FL, 32606-3813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093395303
Provider Name
Michael Stefan Gravenstein
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4101 Nw 89Th Blvd Rm 1788, Gainesville, FL, 32606-3813
Phone Number
352-265-2862
Fax Number
Provider Enumeration Date
04/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4101 Nw 89Th Blvd Rm 1788
City
Gainesville
State
Florida
Zip
32606-3813
Phone Number
352-265-2862
Fax Number
person
Provider Business Mailing Address Details
Address
4101 Nw 89Th Blvd Rm 1788
City
Gainesville
State
Florida
Zip
32606-3813
Phone Number
352-265-2862
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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