Provider Demographics
NPI:1003066366
Name:GRABINSKI, MICHAEL S (MD, MPH)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:GRABINSKI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 7TH AVE
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1132
Mailing Address - Country:US
Mailing Address - Phone:206-860-4424
Mailing Address - Fax:206-720-7424
Practice Address - Street 1:904 7TH AVE
Practice Address - Street 2:8TH FLOOR
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1132
Practice Address - Country:US
Practice Address - Phone:206-860-4424
Practice Address - Fax:206-720-7424
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301093158207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8922701Medicare PIN
WAG8922702Medicare PIN
WAG8924065Medicare PIN
WAG8922700Medicare PIN