Most Relevant Information
Provider Data
| NPI Number: | 1003028622 |
| Provider Name: | JANEL GRACEY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 57-010717 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2600 6TH ST SW
MEDICAL EDUCATION
CANTON
OH
447101702
Practice Location Phone/Fax
| Phone: | 3303634899 |
| Fax: | 3305805513 |
Provider Mailing Location
2600 6TH ST SW
MEDICAL EDUCATION
CANTON
OH
447101702
Provider Mailing Phone/Fax
| Phone: | 3303634899 |
| Fax: | 3305805513 |