Individual
DR. GRAHAM WALLACE FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 982-4941
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 982-4941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02008017A
IN
207P00000X
Emergency Medicine Physician
5101028780
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2022
Last updated
06/23/2025
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