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Contact Information

MICHAEL C GRAEBER, MD
971 LAKELAND DR
SUITE 560 MUSCLE AND NERVE PA
JACKSON, MS39216-4607
 Phone: 601-982-9826
 Fax: 601-982-9535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MICHAEL C GRAEBER · (Male)

NPI # 1558461459
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 10770
  • MS Medicaid 0018496
  • MS Medicaid 09014965
  • Other 0530055 UNITED HEALTH CARE
Hospital affiliation(s)
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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