Individual
DR. MARY BETH GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, INFECTIOUS DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-0746
(414) 805-0748
Mailing address
9200 W WISCONSIN AVE, INFECTIOUS DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-0746
(414) 805-0748
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
43989
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009000315Z
HUMANA
—
05
—
1639123904
—
WI
Enumeration date
05/20/2006
Last updated
10/11/2013
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