Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE K GRAHAM, MD
ActiveObstetrics & Gynecology · DETROIT, MI
Registration Details
- NPI Number
- 1679562292
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2005 (20.515050674388 yrs)
- Last Updated
- Jul 13, 2007
- License
-
4301050455 (MI)
Practice Information
- Address
-
7815 E JEFFERSON AVEDETROIT, MI, 482143704Browse MI providers · Browse ZIP 48214
- Phone
- 3134994868
- Fax
- 3134994911
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MICHAEL F PRYSAK | MD | 1275528077 |
| ANNE M SCHNEIDER | MD | 1083609887 |
| CASSIE LAASCH | MD | 1427043264 |
| RENITA B BARGE | MD | 1720075898 |
| JEFFREY GILLUM | MD | 1790773091 |
| DR. LISA J MCINTOSH | MD | 1205827573 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.