# DR. MICHAEL JOHN INGRAHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063708279
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0 | DC | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2018-00639 | NC | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2018-00639 | NC | — |
| 208600000X | Surgery Physician | 0 | MA | — |

## Other

- **Enumeration date:** 06/26/2011
- **Last updated:** 02/09/2023