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Contact Information

TIMOTHY P GRAHAM, MD
700 S PARK ST
MADISON, WI53715-1830
 Phone: 608-251-6100
 Fax: 608-258-5222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for TIMOTHY P GRAHAM · (Male)

NPI # 1982867347
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2008
Last updated 11/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 60659
  • WI Medicaid 1982867347
Hospital affiliation(s)
  • ST MARY'S HOSPITAL - (Acute Care)
    700 SOUTH PARK ST
    MADISON, WI 53715
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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