Individual provider · Type 1 NPI
Terrence M. Graham, DPM, FACFAS
Foot & Ankle Surgery Podiatrist · Decatur, IL
NPI number
1972585990
Active
Practice location
2 Memorial Dr Ste 305
Decatur, IL 62526-3999
Fax (217) 876-8385
Mailing address
102 W Kenwood Ave, Suite 150
Decatur, IL 62526-4368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016003032 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Decatur
About NPI 1972585990
Terrence M. Graham, DPM, FACFAS's National Provider Identifier is 1972585990, issued on Nov 16, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Decatur, IL. The record was last updated on Feb 28, 2018.