Individual
MICHAEL STEVEN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 BALLARD AVE NW FL 2, SEATTLE, WA 98107-4806
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042-0011973
VT
207Q00000X
Family Medicine Physician
Primary
MD61420620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017711
—
VT
Enumeration date
04/30/2007
Last updated
03/17/2025
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