Individual
ISABELLA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22151 MOROSS RD STE 214, DETROIT, MI 48236-2151
(313) 343-4867
Mailing address
22151 MOROSS RD STE 214, DETROIT, MI 48236-2151
(313) 343-4867
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351047675
MI
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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