Individual
ERIC GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-6450
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
81868-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222913
—
WI
Enumeration date
03/31/2021
Last updated
08/13/2024
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