Bradley Benjamin Graham

NPI #1700596681 in Park Rapids, Minnesota

Provider Information

NPI Number: 1700596681
Entity Type: Individual
Name: Bradley Benjamin Graham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 1, 2022
Last Updated: Dec 1, 2022

Practice Location

Address: 20062 FOXGLOVE DR
City: Park Rapids
State: Minnesota
ZIP Code: 56470-2182
Phone: (218) 366-1820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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