Organization
DANIEL J. GRAHAM, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J. GRAHAM D.O. (PRESIDENT)
(616) 842-5610
Entity
Organization
Contact information
Practice address
925 S BEECHTREE ST, SUITE 1A, GRAND HAVEN, MI 49417-2387
(616) 842-5610
(616) 842-3317
Mailing address
925 S BEECHTREE ST, SUITE 1A, GRAND HAVEN, MI 49417-2387
(616) 842-5610
(616) 842-3317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008182
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1575569
—
MI
Enumeration date
01/11/2016
Last updated
01/11/2016
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