Provider Demographics
NPI:1306031273
Name:GRABOWSKI, COURTENAY ELIZABETH (LM, LA, CBE)
Entity Type:Individual
Prefix:MS
First Name:COURTENAY
Middle Name:ELIZABETH
Last Name:GRABOWSKI
Suffix:
Gender:F
Credentials:LM, LA, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3034 MONTCLAIR DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-5066
Mailing Address - Country:US
Mailing Address - Phone:248-396-5132
Mailing Address - Fax:
Practice Address - Street 1:3034 MONTCLAIR DR
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-5066
Practice Address - Country:US
Practice Address - Phone:248-396-5132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay