Tamara L Grady, PA

NPI #1780612697 in Saint Joseph, Michigan

Provider Information

NPI Number: 1780612697
Entity Type: Individual
Name: Tamara L Grady, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 29, 2006
Last Updated: Jun 4, 2008

Practice Location

Address: 1234 NAPIER AVE
City: Saint Joseph
State: Michigan
ZIP Code: 49085-2112
Phone: (269) 983-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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