# DR. TIMOTHY M. GRAHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386055614
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003865 | OH | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO3776 | FL | — |

## Other

- **Enumeration date:** 05/08/2014
- **Last updated:** 06/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02060385 | — | OH |