Organization
THEODORE K GRAHAM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE K GRAHAM MD (PRESIDENT)
(248) 547-9292
Entity
Organization
Contact information
Practice address
12900 W 9 MILE RD, OAK PARK, MI 48237-2990
(248) 547-9292
(248) 547-2985
Mailing address
PO BOX 3337, SOUTHFIELD, MI 48037-3337
(248) 547-9292
(248) 547-2985
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301050455
MI
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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