Brook Ashlee Gram, PA-C

NPI #1740321090 in Beloit, Ohio

Provider Information

NPI Number: 1740321090
Entity Type: Individual
Name: Brook Ashlee Gram, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 9, 2007
Last Updated: Nov 6, 2009

Practice Location

Address: 18586 5TH ST
City: Beloit
State: Ohio
ZIP Code: 44609-9799
Phone: (330) 938-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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