Organization
JOHN D. GRAHAM M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GRAHAM (AUTHORIZED OFFICIAL)
(401) 789-3434
Entity
Organization
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 789-3434
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
01/30/2008
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