Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tamara Kay Gravelle, PA

Individual provider Surgical Physician Assistant · NPI 1932385762

Tamara Kay Gravelle, PA is a Surgical Physician Assistant in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2799 W Grand Blvd Transplant Institute Unit H6
Detroit, MI 48202-2608
Phone: (313) 916-0662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005139 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5601005139 (MI)

Record details

NPI number1932385762
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 10, 2008
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022

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