St. Marys Medical Center, PC

NPI #1104066315 in Sault Sainte Marie, Michigan

Provider Information

NPI Number: 1104066315
Entity Type: Organization
Organization Name: St. Marys Medical Center, PC
Primary Specialty: Family Medicine
Enumeration Date: Feb 27, 2009
Last Updated: May 24, 2012

Practice Location

Address: 943 E PORTAGE AVE
City: Sault Sainte Marie
State: Michigan
ZIP Code: 49783-2465
Phone: (906) 632-7878

Authorized Official

Name: DR. ROBERT JAMES GRAHAM, DO
Title: PRESIDENT
Phone: (906) 632-7878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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