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David M Graham, MD

Pathology, Anatomic Pathology & Clinical Pathology in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1285620435
StatusActive
Last updated in NPPESNov 2, 2021

Details

NPI
1285620435
Entity type
Individual (NPI-1)
Name
David M Graham
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 23, 2005
Certification date
Nov 2, 2021
Last updated
Nov 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology4301407090MIYes
207ZH0000X Pathology, Hematology4301407090MI

Practice location

200 Jefferson Ave Se
Grand Rapids, MI 49503-4502

Phone 616-685-6258

Mailing address

Po Box 1629
Lima, OH 45802-1629

Phone 877-378-4293 · Fax 419-223-2726

Other practice locations

5900 Byron Center Ave Sw
Wyoming, MI 49519-9606

Phone 616-252-7166

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