Basic Information
| Provider Information | |||||||||
| NPI: | 1922259472 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GRABER | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19208 BRADNER RD | ||||||||
| Address2: | |||||||||
| City: | PEMBERVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 434509646 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 5800 MONROE ST | ||||||||
| Address2: | |||||||||
| City: | SYLVANIA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 435602263 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4198243433 | ||||||||
| FaxNumber: | 4198240216 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2008 | ||||||||
| LastUpdateDate: | 10/20/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 35092502 | OH | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.