Individual
MR. TROY GABRIEL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
200 HEALTH PARK DR, OWOSSO, MI 48867-1291
(989) 723-8666
(989) 725-1434
Mailing address
8380 ALWARD RD, LAINGSBURG, MI 48848-9244
(517) 651-6128
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501010120
MI
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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