Individual
DR. CHARLES PETER GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1059 S US HIGHWAY 27, SAINT JOHNS, MI 48879-2437
(989) 224-8688
Mailing address
1059 S US HIGHWAY 27, SAINT JOHNS, MI 48879-2437
(989) 224-8688
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2301004190
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950A95006
BCBS OF MICHIGAN
MI
Enumeration date
02/26/2007
Last updated
07/08/2007
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