| Doctor Name: | MR. BRIAN M. GRAHAM |
| NPI Number: | 1225281108 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C. PED. |
| License Number: | |
| Business Practice Address: | 2638 Lapeer Rd Auburn Hills, MI - 483261925 |
| Business Phone Number: | 2483713800 |
| Business Fax Number: | 2483713769 |
| Mailing Address: | 2638 Lapeer Rd, AUBURN HILLS |
| State: | MI |
| Postal Code: | 483261925 |
| Phone Number: | 2483713800 |
| Fax Number: | 2483713769 |
| NPI Enumeration Date: | 10/23/2008 |
| NPI Last Update Date: | 12/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |