Provider Demographics
NPI:1639245822
Name:GRAUPMAN, PATRICK C (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:C
Last Name:GRAUPMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 UNIVERSITY AVE E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-2507
Mailing Address - Country:US
Mailing Address - Phone:651-325-2121
Mailing Address - Fax:651-325-2122
Practice Address - Street 1:200 UNIVERSITY AVE E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2507
Practice Address - Country:US
Practice Address - Phone:651-325-2121
Practice Address - Fax:651-325-2122
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2008-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN41472207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNH13908Medicare UPIN