Provider Demographics
NPI:1992691083
Name:GRABINSKI, TRACEY TRAM (CNP)
Entity type:Individual
Prefix:
First Name:TRACEY
Middle Name:TRAM
Last Name:GRABINSKI
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9090 MULBERRY RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-1518
Mailing Address - Country:US
Mailing Address - Phone:440-533-5615
Mailing Address - Fax:
Practice Address - Street 1:9090 MULBERRY RD
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-1518
Practice Address - Country:US
Practice Address - Phone:440-533-5615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0039432207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty