Doctor Name: | DAVID GRAF |
NPI Number: | 1245631514 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A |
License Number: | |
Business Practice Address: | 112 Helen St Sauk City, WI - 535831101 |
Business Phone Number: | 6086433351 |
Business Fax Number: | 6086433621 |
Mailing Address: | 112 Helen St, SAUK CITY |
State: | WI |
Postal Code: | 535831101 |
Phone Number: | 6086433351 |
Fax Number: | 6086433621 |
NPI Enumeration Date: | 09/05/2014 |
NPI Last Update Date: | 09/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |