Individual
GRAHAM WESTER REDGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5104
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D58139
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401920200
—
MH
Enumeration date
06/03/2006
Last updated
08/11/2022
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