Keith Edward Grau, M.D.
Internal Medicine in Salem, OR. Individual provider (NPI-1).
NPI number1790798221
StatusActive
Last updated in NPPESFeb 17, 2011
Details
- NPI
- 1790798221
- Entity type
- Individual (NPI-1)
- Name
- Keith Edward Grau
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2006
- Last updated
- Feb 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD26789 | OR | Yes |
| 207R00000X | Internal Medicine | MD019815E | PA | |
| 207R00000X | Internal Medicine | 11144 | MT | |
| 207R00000X | Internal Medicine | G87852 | CA |
Other names
- Keith E Grau (Professional Name)
Practice location
2400 Lancaster Dr NeSalem, OR 97305-1221
Phone 503-361-5400
Mailing address
2252 Wildwood Dr SeSalem, OR 97306-1001
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