Provider Information for 1548502321
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
CHARLES E GRAHAM MSW
Sex: Male
NPI: 1548502321
Last Updated: 2013-03-20
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1548502321 | ||||||||||||
| Enumeration Date | 2013-03-20 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3621 SOUTH STATE STREET 700 KMS PLACE ANN ARBOR, MI 48108 United States Phone: 734-936-2047 | Fax: | ||||||||||||
| Primary Practice Address | 4250 PLYMOUTH RD ANN ARBOR, MI 48109-2700 United States Phone: 734-764-6443 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|