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Contact Information

DAVID M GRAHAM, MD
200 JEFFERSON AVE SE
GRAND RAPIDS, MI49503-4502
 Phone: 616-685-6258
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Hematology

207ZH0000X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for DAVID M GRAHAM · (Male)

NPI # 1285620435
Status Active
Credentials MD
Entity Individual
Enumeration date 09/23/2005
Last updated 11/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301407090
  • MI Medicaid 4933715
Hospital affiliation(s)
  • METRO HEALTH HOSPITAL - (Acute Care)
    5900 BYRON CENTER AVENUE, SW
    WYOMING, MI 49519
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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