Individual
DR. ROBERT L GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2230 BRADFORD CT NE, GRAND RAPIDS, MI 49505-6405
(616) 238-6363
Mailing address
2230 BRADFORD CT NE, GRAND RAPIDS, MI 49505-6405
(616) 238-6363
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950D153150
CHIROPRACTOR
MI
01
—
RG005308
CHIROPRACTOR
MI
05
—
RG005308
—
MI
Enumeration date
07/20/2006
Last updated
07/25/2015
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