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Individual

DR. MICHAEL E GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
30034
MS
207VX0000X
Obstetrics Physician
Primary
018221
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1900401
LA
Enumeration date
12/15/2006
Last updated
02/03/2026
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