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1679562292
THEODORE K GRAHAM
DETROIT, MI
NPI
1679562292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 4301050455)
Enumeration Date
2005-10-17
Last Update Date
2007-07-13
Business Address
-- THEODORE K GRAHAM MD
7815 E JEFFERSON AVE
DETROIT, MI 48214-3704
Phone number: 313-499-4868
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Mailing Address
-- THEODORE K GRAHAM MD
43800 GARFIELD RD
CLINTON TWP, MI 48038-1136
Phone number: 800-848-0202
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