Individual
JOHN W GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
40940
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069020100
—
MN
Enumeration date
12/28/2005
Last updated
10/09/2014
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