| Daniel J. Graham, D.o., P.c. | |
|
925 S Beechtree St Suite 1a Grand Haven MI 49417-2387 | |
| (616) 842-5610 | |
| (616) 842-3317 |
| Full Name | Daniel J. Graham, D.o., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 925 S Beechtree St, Grand Haven, Michigan |
| Authorized Official Name and Position | Daniel J. Graham (PRESIDENT) |
| Authorized Official Contact | 6168425610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J. Graham, D.o., P.c. 925 S Beechtree St Suite 1a Grand Haven MI 49417-2387 Ph: (616) 842-5610 | Daniel J. Graham, D.o., P.c. 925 S Beechtree St Suite 1a Grand Haven MI 49417-2387 Ph: (616) 842-5610 |
| NPI Number | 1184080806 |
|---|---|
| Provider Enumeration Date | 01/11/2016 |
| Last Update Date | 01/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184080806 | NPI | - | NPPES |
| 1575569 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101008182 (Michigan) | Primary |
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