Individual
MICHAEL M GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4302
(319) 356-2220
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4302
(319) 356-2220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33216
IA
207U00000X
Nuclear Medicine Physician
Primary
33216
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201368
—
IA
01
—
12042
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
10/22/2025
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