Individual provider · Type 1 NPI
Richard Craig Graham, MD
Specialist · Lake Elmo, MN
NPI number
1306008990
Active
Practice location
4635 Olson Lake Trl N
Lake Elmo, MN 55042-9530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 18577 (MN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1306008990
Richard Craig Graham, MD's National Provider Identifier is 1306008990, issued on Jun 26, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Elmo, MN. The record was last updated on Jun 26, 2008.