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Individual

DR. MICHAEL J GRAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4600
Mailing address
430 E DIVISION ST, EMERGENCY DEPARTMENT, FOND DU LAC, WI 54935-4560
(920) 926-4600

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
75162-20
WI
208D00000X
General Practice Physician
35.135979
OH

Other

Enumeration date
03/23/2016
Last updated
06/07/2022
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