Brook Gram, PA-C

NPI 1740321090 · on the registry since 2007

Practice

Address: 18586 5th St
Beloit, OH 44609
Phone: (330) 938-3333
Fax: (330) 938-9375
Organisation at this address: David J Corallo
Marco R. Corallo, D.O., Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-11-06
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio