Basic Information
| Provider Information | |||||||||
| NPI: | 1841275781 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRAMLICH | ||||||||
| FirstName: | TERRY | ||||||||
| MiddleName: | L. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14275 MIDWAY RD | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | ADDISON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750013614 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2149328029 | ||||||||
| FaxNumber: | 6102714245 | ||||||||
| Practice Location | |||||||||
| Address1: | 7730 FIRST PL | ||||||||
| Address2: | SUITE A | ||||||||
| City: | OAKWOOD VILLAGE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441466719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003317546 | ||||||||
| FaxNumber: | 4407032155 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2005 | ||||||||
| LastUpdateDate: | 12/05/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZC0500X | 35-060998G | OH | N | Allopathic & Osteopathic Physicians | Pathology | Cytopathology | 207ZC0500X | 034354 | GA | N | Allopathic & Osteopathic Physicians | Pathology | Cytopathology | 207ZC0500X | L8705 | TX | N | Allopathic & Osteopathic Physicians | Pathology | Cytopathology | 207ZC0500X | ME90450 | FL | N | Allopathic & Osteopathic Physicians | Pathology | Cytopathology | 207ZC0500X | MD421664 | PA | N | Allopathic & Osteopathic Physicians | Pathology | Cytopathology | 207ZP0101X | 35-060998G | OH | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | 207ZP0101X | 034354 | GA | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | 207ZP0101X | L8705 | TX | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | 207ZP0101X | ME90450 | FL | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | 207ZP0101X | MD421664 | PA | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology |
No ID Information.