| Doctor Name: | DR. ROBERT WILLIAM GRAHAM |
| NPI Number: | 1598754731 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO, MPH |
| License Number: | 5101007244 |
| Business Practice Address: | 2012 E, Preston Ave Mt. Pleasant, MI - 488588990 |
| Business Phone Number: | 9897735921 |
| Business Fax Number: | 9897734319 |
| Mailing Address: | 2012 E. Preston Ave, MT. PLEASANT |
| State: | MI |
| Postal Code: | 488588990 |
| Phone Number: | 9897735921 |
| Fax Number: | 9897734319 |
| NPI Enumeration Date: | 10/20/2005 |
| NPI Last Update Date: | 02/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 5101007244 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |