Michael A Graham
Michael A Graham is an Anatomic Pathology & Clinical Pathology Physician in St. Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
Practice location Address checks out
1402 S GrandSt. Louis, MO 63110
Phone: (314) 577-8693
Fax: (314) 268-5478
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Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence R7841 (MO) |
|---|
Record details
| NPI number | 1760591325 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 29, 2006 |
| Last updated in NPPES | January 9, 2008 |
| Mailing address | 3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110 |
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