Individual
BRUCE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18101 LORAIN AVENUE CLEVELAND CLINIC-FAIRVIEW HOSPITAL, EMERGENCY SERVICES, CLEVELAND, OH 44111-5612
(216) 476-7312
Mailing address
18101 LORAIN AVENUE CLEVELAND CLINIC-FAIRVIEW HOSPITAL, EMERGENCY SERVICES, CLEVELAND, OH 44111-5612
(216) 476-7312
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
012541
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2014
Last updated
07/23/2018
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